Clinical review of patients treated for atypical claudication: a 28-year experience

Turnipseed, William D.

doi:10.1016/j.jvs.2004.02.034

Cited by 55 publications

(39 citation statements)

References 15 publications

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“…However, IC may also be described by a younger subset of patients without any risk factors for PVD and can present a diagnostic challenge. 1 Popliteal entrapment syndrome (PES) describes a group of conditions in which compression of the popliteal artery, popliteal vein, and tibial nerve (singly or in combination) in the popliteal fossa by surrounding musculoskeletal structures occurs to a degree sufficient to cause vascular and neurogenic symptoms. 2 Popliteal artery entrapment syndrome (PAES) is believed to be responsible for a significant proportion of IC in young patients and should not be considered benign, because progressive injury to the popliteal artery with subsequent limb loss has been described.…”

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confidence: 99%

Popliteal entrapment syndrome

Sinha¹,

Houghton²,

Holt³

et al. 2012

Journal of Vascular Surgery

145

152

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A large volume of predominantly retrospective clinical data exists on PES. A subset of studies describe a significant failure rate after surgery, but study quality is insufficient to derive robust conclusions allowing recommendation of any one particular diagnostic modality or operative procedure over another. Improvements in management of this condition are unlikely to result from publication of further retrospective case series, and clinicians should concentrate on prospectively collected data with predefined inclusion criteria, outcome measures, follow-up protocols, and transparent standardized reporting criteria.

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confidence: 99%

Popliteal entrapment syndrome

Sinha¹,

Houghton²,

Holt³

et al. 2012

Journal of Vascular Surgery

145

152

View full text Add to dashboard Cite

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“…The main problem in treating popliteal entrapment is the appropriate diagnosis. [1][2][3]6 Different diagnoses include arteritis, neurogenic claudication, muscular disease, tumors in popliteal adventitial cavity, cystic disease of the popliteal artery and injuries to the popliteal artery affected by traumatic causes. 4,[7][8][9] The syndrome can be divided into two categories: anatomic and functional entrapment.…”

Section: Discussionmentioning

confidence: 99%

“…Magnetic resonance angiography provides detailed information regarding the relationship between vascular and musculotendinous structures within and around the popliteal fossa. 2,12 Contrast arteriography is very useful to plan bypass surgery.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 A bypass had to be performed in the right limb to avoid ischemic pain, since the patient had been taking cilostazol 100 mg/day for 6 months with no success. We assumed that the bypass occluded because there was thrombus in the popliteal artery with poor artery reflux (stage 3 disease -replacement of the intima to collagen scar tissue).…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] The prevalence is in a 0.16-3.5% range in the general population. 4 In younger patients (under 30 years) it appears as an intermittent claudication, in which this etiology occurs in around 40%.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral popliteal artery entrapment syndrome: case report

et al. 2008

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Popliteal artery entrapment syndrome occurs due to an extrinsic compression of the popliteal vessels that results in vascular damage. It is one of the most frequent causes of intermittent claudication in young patients. The authors describe a case of bilateral syndrome by anomalous position of the gastrocnemius muscle, with abnormal slip of its medial head (Rich's type III). During the operation the occluded right side was reconstructed by autologous saphenous vein bypass from femoral superficial to peroneal artery and on the left side the slip muscle was transected by posterior approach. Popliteal artery entrapment syndrome should be treated by surgery despite the degree of symptoms. Surgical treatment technique has released the vessel by extracting the muscle that caused entrapment, and reconstructing the narrow lumen bypass grafting.Keywords: Popliteal artery, surgery, popliteal artery entrapment syndrome. ResumoA síndrome do aprisionamento da artéria poplítea ocorre em função de compressão extrínseca dos vasos poplíteos, que resulta em lesão vascular. Trata-se de uma das causas mais freqüentes de claudicação intermitente em pacientes jovens. Os autores descrevem um caso de síndrome bilateral devida à posição anômala do músculo gastrocnêmio, com deslizamento de sua cabeça média (tipo III da classificação de Rich). Durante a cirurgia, o lado direito ocluído foi reconstruído por derivação da veia safena autóloga da artéria superficial femoral para a artéria peroneal e, do lado esquerdo, o músculo que sofreu o deslizamento foi secionado através de via posterior. A síndrome do aprisionamento da artéria poplítea deve ser tratada por cirurgia, independente do grau dos sintomas. A técnica de tratamento cirúrgico liberou o vaso, extraindo o músculo que causava o aprisionamento e reconstruindo o lúmen estreito por derivação. Palavras-chave:Artéria poplítea, cirurgia, síndrome do aprisionamento da artéria poplítea.

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Combined peroneal and proximal tibial nerve palsies

Williams

Rosson

et al. 2009

Microsurgery

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Combined compression of both the common peroneal nerve and the proximal tibial nerve at the level of the popliteal fossa is rare. Recently, an anatomic site of compression of the proximal tibial nerve at the soleal sling (originating arch for the soleus muscle) has been described in cadavers. The present report includes three patients who had a combined compression of the common peroneal nerve at the fibular neck (fibular tunnel syndrome) and compression of the proximal tibial nerve at the soleal sling (soleal sling syndrome). In each case, blunt trauma was the precipitating event. Neurolysis of both nerves resulted in restoration of motor and sensory function in each of these three patients. This is the first clinical report illustrating combined neurolysis of the common peroneal at the knee and the proximal tibial nerve in the soleal sling.

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Clinical review of patients treated for atypical claudication: a 28-year experience

Abstract: Atypical claudication represents a collection of syndromes that can be permanently and effectively treated with surgical intervention.

Cited by 55 publications

References 15 publications

Popliteal entrapment syndrome

Popliteal entrapment syndrome

Bilateral popliteal artery entrapment syndrome: case report

Combined peroneal and proximal tibial nerve palsies

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