S95.091

Clinical Causes: Sharp object injury, such as a cut from glass or a knife Blunt force trauma causing vascular damage Penetrating injuries from stabbing or other sharp instruments Accidental trauma during sports or vehicular accidents Surgical complications or iatrogenic injury during medical procedures

Key Symptoms: Pain or tenderness along the top of the foot Swelling and possible bruising over the injured area Visible bleeding or hematoma Coolness or pallor of the affected foot indicating compromised blood flow Numbness or tingling sensations Reduced or absent foot pulses in severe cases Signs of infection if wound is contaminated

Diagnosis Path: To confirm an injury to the dorsal artery, a healthcare provider will perform a physical examination and assess for signs of impaired blood flow. Diagnostic tests may include: - **Doppler ultrasound**: To evaluate blood flow in the dorsal artery - **Ankle-brachial index**: To compare blood pressure in the foot with that in the arm - **Angiography**: A detailed imaging test to visualize arterial damage - **X-rays**: To rule out associated fractures or foreign bodies Proper assessment helps determine the extent of the injury and guides treatment decisions.

Treatment Protocols: Treatment aims to restore blood flow, prevent infection, and promote healing. Approaches may include: - **Emergency care**: Applying pressure to control bleeding and immobilizing the foot - **Wound management**: Cleaning and dressing the injury to prevent infection - **Medications**: Antibiotics for infection prevention and pain relief - **Vascular intervention**: Surgical repair or ligation of damaged vessels, including suturing or bypass procedures - **Monitoring**: Regular assessment of circulation and nerve function post-treatment - **Rehabilitation**: Physical therapy to regain mobility and strength following recovery In severe cases, hospitalization and specialized vascular surgery may be necessary to ensure optimal outcomes.