86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus. This area is in the peroneal artery angiosome. Occlusions of the peroneal and posterior tibial artery were treated with orbital atherectomy. Ulcer healed within 1 month.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
Unusual cause of extremity pain in a diabetic patients
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.