A case of bilateral developmental abnormality of the popliteal arteries and gastrocnemius muscles

Carter, A. E.; Eban, R.

doi:10.1002/bjs.1800510714

Cited by 48 publications

(18 citation statements)

References 3 publications

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“…Although most of the limb vascular problems are due to trauma injuries, vascular problems of a nontraumatic etiology in athletes have been reported. 4 Classification of popliteal vessels' anatomic entrapment syndrome varies among authors. 1,2 Bibliographically, the syndrome is classified in two categories according the cause: the anatomic and the recently described functional entrapment of the popliteal artery.…”

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confidence: 99%

Popliteal Artery Entrapment Syndrome

Baltopoulos

Filippou

Sigala

2004

Clinical Journal of Sport Medicine

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We conclude that physicians who encounter athletes with progressive lower leg pain should consider functional popliteal artery entrapment surgery, which can prevent the disease's progression. We discuss clinical symptoms of the syndrome, radiological and ultrasonographical findings, and diagnostic criteria. Early diagnosis is of great importance in order to avoid vascular complications, and aid in athletes' early rehabilitation.

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confidence: 99%

Popliteal Artery Entrapment Syndrome

Baltopoulos

Filippou

Sigala

2004

Clinical Journal of Sport Medicine

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“…1, In some individuals, bilateral involvement has been present.3 3 As might be expected, there is a definite corelation between the severity of symptoms and the degree of arterial obstruction. However, the claudication is atypical in that it begins almost instantly with walking and relief occurs immediately with rest.…”

Section: Discussionmentioning

confidence: 86%

Popliteal Artery Entrapment Syndrome

1976

Vascular Surgery

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Intermittent claudication in the young is unusual. The most common cause is premature atherosclerosis; however, conditions such as thromboangitis obliterans, embolism, trauma, cystic disease of the adventitia or popliteal artery entrapment are diagnostic considerations.Entrapment of the popliteal artery by an anomalous muscle attachment or fibrotic band may result in external compression of the popliteal artery. Such compression can cause acute ischemia, and over a period of time the artery may develop irreversible changes secondary to repeated trauma. Certain aspects of the symptoms complex may serve to alert one of the possible presence of the popliteal artery entrapment syndrome. The following case is illustrative.J. T., a 28-year-old white male construction worker was referred to University of Wisconsin Hospitals for evaluation of hypertension and recurrent pain in his left calf and foot of one year duration. The pain was described as crampy and precipitated primarily by walking while rest afforded almost immediate relief. He had also noted that the left foot was cooler and more sensitive to cold than its counterpart. Positive physical findings other than an elevated blood pressure of 170/120 mmHg were limited to the left leg. A bruit, accentuated by exercise, was present over the left popliteal fossa. Both femoral pulses and those in the distal right lower extremity were normal. The pulses in the left foot were 3 + on a scale of 5. With exercise (walking in place till pain commenced) all foot pulses disappeared and slowly reappeared following rest.Renal arteriography was normal excluding renal vascular hypertension. Arteriography of the left lower extremity with the leg extended showed the vessels to be normal except for a 2.8 cm segment of the popliteal artery in the intercondylar fossa. The arterial wall was smooth; however, the vessel had an extrinsic pressure defect along the lateral aspect. This resulted in minor displacement of the artery medially but compromised the lumen approximately 90%. No poststenotic dilatation was present (Fig. 1).The popliteal fossa was explored through medial incision. A fibrous band was seen to extend from the medial head of the gastrocnemius muscle to the lateral femoral condyle. This crossed the popliteal vessels and caused compression of the artery. Following removal of the band, normal pulses were restored in the foot. Externally, the artery appeared to be normal. An operative arteriogram showed only minor residual compression of the wall and that area appeared to be smooth. Two centimeters distal to the tibial plateau there was

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“…Andere Erfahrungen beschreibt die Serie von Bequiem [5] mit einer Inzidenz yon 56 % des Typ 2/2a bei 111 beobachteten Entrapmentsyndromen. Auff/illig ist ein geh/iuftes Auftreten eines Entrapmentsyndromes in bis zu 66 % bei Patienten mit sportlicher Bet/itigung [7,14,15,20,28,29,32,34,35,39,42,44,47,52,54,60]. Die von Barabas u. Macfarlane [3] und Bequim et at.…”

Section: Diskussionunclassified

“…Die postoperativen Resultate waren jedoch in unserer Untersuchungsserie/ihnlich wie bei anderen Autoren [14,18,51] unbefriedigend. Die postoperativen Resultate waren jedoch in unserer Untersuchungsserie/ihnlich wie bei anderen Autoren [14,18,51] unbefriedigend.…”

Section: Diskussionunclassified

Die Problematik des arteriellen poplitealen Entrapmentsyndroms als Ursache der akuten peripheren Isch�mie

Zünd

Roggo

Etter

et al. 1993

Langenbecks Arch Chir

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The popliteal artery entrapment syndrome results from an abnormal relation of artery and tendomuscular structures in the popliteal fossa, which can compromise the artery. We report our experience in 18 cases of popliteal artery entrapment syndrome in 14 patients (12 men, 2 women) operated on at the University Hospital in Zurich during the period 1967-1988. A follow-up examination was possible in 12 of the 14 patients in whom popliteal artery entrapment syndrome (both legs in 2) was treated surgically. These patients had first presented with ischaemic symptoms at an average age of 30 years. The correct diagnosis of an entrapment syndrome was made at an average age of 36 years. In all, 5 of the 14 patients were affected bilaterally. In 5 cases the first sign was an acute ischaemic syndrome. All these patients were young and had formerly taken active part in sport. The follow-up examination after an average age of 11.25 years showed a very good result in 13 cases, a good result in 2 cases and an unsatisfactory postoperative result in 1.

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A case of bilateral developmental abnormality of the popliteal arteries and gastrocnemius muscles

Cited by 48 publications

References 3 publications

Popliteal Artery Entrapment Syndrome

Popliteal Artery Entrapment Syndrome

Popliteal Artery Entrapment Syndrome

Die Problematik des arteriellen poplitealen Entrapmentsyndroms als Ursache der akuten peripheren Isch�mie

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