Functional Popliteal Entrapment Syndrome in the Sportsperson

Lane, Rodney J.; Nguyen, Tat Luat; Cuzzilla, Michael Luciano; Oomens, Donna; Mohabbat, Walid; Hazelton, S.

doi:10.1016/j.ejvs.2011.10.013

Cited by 39 publications

(53 citation statements)

References 14 publications

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“…Following that the patient was set in supine position and the four compartment fasciotomies were performed. 43 Surg. Atypical claudication and functional 2007 Presse 22-year-old man diagnosed as a popliteal entrapment.…”

Section: Continuementioning

confidence: 99%

Popliteal entrapment syndrome. A systematic review of the literature and case presentation

Gökkuş

Sağtaş

Bakalim

et al. 2014

MLTJ

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SummaryPopliteal artery entrapment syndrome (PAES) is rare in young adults. Claudication of the young patient, which is often overlooked, is a very rare symptom for orthopedic surgeons. In elder patients, the physician might expect atherosclerotic claudication, however in young patients, popliteal artery entrapment syndrome (PAES) should be considered as a possibility in the cases of claudication. Here, an unusual presentation of an uncommon disease that is not widely known by orthopedic surgeons is reported.

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Section: Continuementioning

confidence: 99%

Popliteal entrapment syndrome. A systematic review of the literature and case presentation

Gökkuş

Sağtaş

Bakalim

et al. 2014

MLTJ

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“…US Duplex Doppler Lower Extremity. US duplex PAES, where real-time visualization of flow occlusion and changes in segmental Doppler pressures upon provocative plantar flexion is crucial in confirming a suspected diagnosis [16,18]. This is extremely beneficial in the setting of functional PAES, where lack of an anatomic abnormality limits the sensitivity of cross-sectional modalities like CTA and MRA [18].…”

Section: Discussion Of Procedures By Variant Variant 1: Suspected Popmentioning

confidence: 99%

“…US duplex PAES, where real-time visualization of flow occlusion and changes in segmental Doppler pressures upon provocative plantar flexion is crucial in confirming a suspected diagnosis [16,18]. This is extremely beneficial in the setting of functional PAES, where lack of an anatomic abnormality limits the sensitivity of cross-sectional modalities like CTA and MRA [18]. In PAES patients treated with popliteal bypass, US duplex Doppler is the first-line modality of choice in assessing graft patency; CTA, MRA, and selective arteriography are reserved for postoperative patients with abnormal US duplex Doppler examinations [17].…”

Section: Discussion Of Procedures By Variant Variant 1: Suspected Popmentioning

confidence: 99%

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ACR Appropriateness Criteria® Nonatherosclerotic Peripheral Arterial Disease

Imaging¹,

François

Skulborstad

et al. 2019

Journal of the American College of Radiology

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A broad range of nonatherosclerotic diseases affect the peripheral arteries. The appropriate initial diagnostic imaging studies vary, depending upon the clinical presentation and suspicion of disease. Accurate vascular imaging relies upon visualization of the vessel lumen, vessel wall, and surrounding soft-tissue structures, with some modalities also offering the ability to characterize blood flow direction and velocity. Furthermore, nonvascular findings are often paramount in supporting a suspected clinical syndrome or guiding surgical management. The scenarios discussed in this document include the initial evaluation of suspected popliteal entrapment syndrome, external iliac artery endofibrosis, lower-extremity inflammatory vasculitides, dissection or connective tissue disease, noninflammatory vascular disease, and vascular trauma.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.Disclaimer: The ACR Committee on Appropriateness Criteria and its expert panels have developed criteria for determining appropriate imaging examinations for diagnosis and treatment of specified medical condition(s). These criteria are intended to guide radiologists, radiation oncologists, and referring physicians in making decisions regarding radiologic imaging and treatment. Generally, the complexity and severity of a patient's clinical condition should dictate the selection of appropriate imaging procedures or treatments. Only those examinations generally used for evaluation of the patient's condition are ranked. Other imaging studies necessary to evaluate other co-existent diseases or other medical consequences of this condition are not considered in this document. The availability of equipment or personnel may influence the selection of appropriate imaging procedures or treatments. Imaging techniques classified as investigational by the FDA have not been considered in developing these criteria; however, study of new equipment and applications should be encouraged. The ultimate decision regarding the appropriateness of any specific radiologic examination or treatment must be made by the referring physician and radiologist in light of all the circumstances presented in an individual examination.

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“…The current treatment (popliteal arteriolysis associated or not with the release of the soleus muscle from its tibial attachments, resection of its fascial band and resection of the plantaris muscle [32]) is proposed only in the presence of altered locomotor function. Postop erative results are good in the short term (1 yr) (8) but have not been thoroughly evaluated and may not persist in the long term (17). Here, we report the case of a young man with bilateral FPAES who underwent unsuccessful com partment release and was then treated with intramuscular injection of BoNT-A.…”

Section: Discussionmentioning

confidence: 99%