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In the past 15 years ski boot design has changed drastically and, even though it has been improved notably, boots are still the most potentially neuralgic part of the equipment. The unusual case of a 45-year-old woman who suffered thrombosis of the 3 arteries of the leg, approximately 10 cm above the ankle joint, is reported. Treatment consisted in low-dose thrombolysis and resulted after 3 days in recanalization. Venous occlusion and embolism as well as neurologic lesions as a result of the tourniquet effect of modern ski boots have already been reported in the literature, but this seems to be the first reported case of an acute arterial occlusion caused by a ski boot.
arterial injuries, lower limb arterial injuries, foot injuries, shoes, skiing, sports, fibrinolysis, streptokinase
Associate professor, Centre Hospitalier Universitaire Vaudois, Lausanne,