Pseudo–aneurysms are more common in the extremities when compared to true aneurysms, trauma being the commonest cause . Anterior tibial artery in the leg is not a common site for pseudo–aneurysm following sports injuries. Frequently these are misdiagnosed as musculoskeletal injuries, even when there is no definitive cause found. We highlight the steps for the diagnosis of these injuries, and methods for management of these injuries