Popliteal artery entrapment syndrome: an approach to diagnosis and management
| Autor: | Alexander P. Coupland, Maira Hameed, Alun H. Davies |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
vessel Physical Therapy Sports Therapy and Rehabilitation Constriction Pathologic 030204 cardiovascular system & hematology 09 Engineering Time-to-Treatment Muscle hypertrophy 03 medical and health sciences Gastrocnemius muscle 0302 clinical medicine Popliteal vein medicine.artery medicine Humans Popliteal Artery Orthopedics and Sports Medicine Medical history 030212 general & internal medicine Diagnostic Errors Peripheral Vascular Diseases Science & Technology business.industry artery 11 Medical And Health Sciences General Medicine Popliteal artery entrapment syndrome medicine.disease radiology Intermittent claudication Popliteal artery Surgery medicine.anatomical_structure Athletes lower limb athlete medicine.symptom business Life Sciences & Biomedicine 13 Education Sport Sciences Artery |
| Zdroj: | British Journal of Sports Medicine. 52:1073-1074 |
| ISSN: | 1473-0480 0306-3674 |
| Popis: | Popliteal artery entrapment syndrome (PAES) is an anomaly resulting in symptomatic extrinsic compression of the popliteal artery by the surrounding musculotendinous structures; most frequently the medial head of the gastrocnemius muscle. This may be congenital or acquired through muscular hypertrophy. PAES can be further classified by anatomical type (I–VI, table 1). It may exist alone or in combination with popliteal vein and/or tibial nerve compression as part of popliteal entrapment syndrome. View this table: Table 1 Popliteal entrapment syndrome classification (Popliteal Vascular Entrapment Forum)6 PAES is a frequent cause of intermittent claudication in an otherwise healthy, often athletic cohort, with potentially severe adverse sequelae and can represent a diagnostic challenge. A 38-year-old female competitive ‘ironman triathlete’ athlete with no medical history presented with exertional left calf pain. On examination, the patient had a full complement of lower-limb pulses. A lower-limb arterial duplex scan detected bilateral popliteal artery occlusion on forced plantar flexion. As there were unilateral symptoms, a CT angiogram was performed which detected no abnormality. A bilateral lower-limb angiogram initially demonstrated normal arterial anatomy. However, on forced plantar flexion, complete occlusion of both popliteal arteries was evident (figure 1). Figure 1 Lower-limb arterial angiogram at rest (left) and during forced plantar flexion demonstrating bilateral popliteal artery occlusion (right). The patient was diagnosed with bilateral PAES and underwent staged popliteal artery releases. At 1 year … |
| Databáze: | OpenAIRE |
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