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

Gökkuş, Kemal; Sağtaş, Ergin; Bakalim, Tamer; Taskaya, Ertugrul; Aydın, Ahmet Turan

doi:10.11138/mltj/2014.4.2.141

Cited by 18 publications

(34 citation statements)

References 39 publications

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“…Deep to the muscle, the artery is compressed. This is referred to as type II PAES; however, other variants with differing embryological chronologies have also been described 31. The variants are primarily classified according to the structure responsible for the arterial compression, these are summarised in figure 6 4…”

Section: Discussionmentioning

confidence: 99%

Two otherwise healthy young brothers present with intermittent claudication, just a coincidence?

Clifford

Moore

2017

BMJ Case Reports

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Popliteal artery entrapment syndrome (PAES) is a recognised cause of lower limb peripheral arterial disease in young adults. We describe the cases of two otherwise healthy brothers who presented with the condition 5 years apart. The first brother, who is also the first author of this case report, presented aged 19 with worsening, right-sided, exercise-induced lower leg pain and transient foot pallor. Imaging confirmed PAES and irreversible localised arterial damage. Surgery was performed to release the entrapment and resect the section of diseased artery. The limb was revascularised using an autologous interposition saphenous vein graft. The second brother began experiencing left-sided, exercise-induced lower leg pain aged 24. Again, imaging revealed PAES and irreversible arterial damage. A similar revascularisation procedure was performed. Both siblings fully recovered and are symptom free. Arterial duplex scans have confirmed patent grafts. A correlation in siblings has only been reported in the literature five times previously.

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Section: Discussionmentioning

confidence: 99%

Two otherwise healthy young brothers present with intermittent claudication, just a coincidence?

Clifford

Moore

2017

BMJ Case Reports

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“…Young and healthy adults with lower extremity claudication are the candidates for the diseases originating from the muscle-fascia, bone-periosteum, nerve or vascular structures. [5,6] Since PAES is mostly found in patients with well-developed muscles, the military surgeons have a great interest on this disorder. [7] The symptoms of this syndrome may vary individually.…”

Section: Discussionmentioning

confidence: 99%

Popliteal artery entrapment syndrome needs an interdisciplinary approach

Şahın¹

2016

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada popliteal arter tuzak sendromuna ilişkin uzun dönem deneyimlerimiz bildirildi ve disiplinlerarası yaklaşımın önemi vurgulandı.Ça lış m a pla nı: Ocak 1994 -Aralık 2014 tarihleri arasında 21 hastanın (17 erkek, 4 kadın; ort. yaş 26.14 yıl; dağılım 17-35 yıl) toplam 23 ekstremitesine popliteal arter tuzak sendromu tanısı konuldu. Tüm hastalara popliteal arterin cerrahi dekompresyonu uygulandı. Tip 1 ve 2 popliteal arter tuzak sendromlu hastalara safen ven ile ven greft interpozisyonu yapıldı. Tip 3, 4 ve 6 popliteal arter tuzak sendromlu hastalara gastroknemius kası medial başının kas ve tendon rezeksiyonundan sonra ven greft interpozisyonu uygulandı. Bul gu lar:Ortalama takip süresi 120.5±59.0 (dağılım 38-218) ay idi. İki ekstremiteye yeniden girişim uygulanması gerekti. Genel greft açıklık oranları birinci ve beşinci yılda sırasıyla %91.3 ve %82.6 idi. Hastaların büyük bir çoğunluğu başlangıçta kalp damar cerrahisi kliniğine başvurdu; ancak sekiz hasta diğer polikliniklere başvurdu ve takiben konsülte edildi.So nuç: Popliteal arter tuzak sendromlu hastalara uygun tedavinin kısa sürede sağlanabilmesi için erken ve doğru tanı konulmalıdır. Bu nedenle, farklı branşların çeşitli polikliniklerine alt ekstremite kladikasyonu ile başvuran hastaları tedavi eden hekim, olağandışı klinik seyir olsa dahi, popliteal arter tuzak sendromu açısından dikkatli olmalıdır.Anah tar söz cük ler: Alt ekstremite kladikasyonu; popliteal arter tuzak sendromu; ven interpozisyonu. ABSTRACTBackground:In this study, we report our long-term experiences of popliteal artery entrapment syndrome and to highlight the importance of an interdisciplinary approach.

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“…Popliteal artery entrapment syndrome occurs when the popliteal artery becomes compressed in the popliteal fossa, particularly during exercise. 1,2 The underlying problem may be that the popliteal artery has an aberrant course lateral to the medial head of the gastrocnemius muscle, or the medial head of the gastrocnemius may have an abnormal insertion, or there may be fibrous bands in the popliteal fossa, or a combination of these (Figure 1). [1][2][3] Functional popliteal artery entrapment syndrome occurs when there is compression of the artery without an anatomic cause.…”

Section: ■ Popliteal Artery Entrapment Syndromementioning

confidence: 99%

“…1,2 The underlying problem may be that the popliteal artery has an aberrant course lateral to the medial head of the gastrocnemius muscle, or the medial head of the gastrocnemius may have an abnormal insertion, or there may be fibrous bands in the popliteal fossa, or a combination of these (Figure 1). [1][2][3] Functional popliteal artery entrapment syndrome occurs when there is compression of the artery without an anatomic cause. [1][2][3] The classic clinical presentation is a young athletic patient with calf or foot claudication (crampy pain with exercise, relieved with rest), but other symptoms can include coldness, paresthesias, and numbness.…”

Section: ■ Popliteal Artery Entrapment Syndromementioning

confidence: 99%

Nonatherosclerotic limb ischemia: Prompt evaluation and diagnosis

Eun

Hiatt

Glebova

2016

CCJM

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Limb ischemia is most often associated with atherosclerosis and older age. When a younger patient without risk factors for atherosclerosis presents with symptoms of limb ischemia, vascular occlusion may not be suspected initially, thus delaying diagnosis and treatment. Delayed diagnosis can lead to a poor outcome. Here, we describe several uncommon causes of limb ischemia and their initial presentations, workup, and treatment to help guide the practitioner in making a timely diagnosis in this unusual patient population.

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

Cited by 18 publications

References 39 publications

Two otherwise healthy young brothers present with intermittent claudication, just a coincidence?

Two otherwise healthy young brothers present with intermittent claudication, just a coincidence?

Popliteal artery entrapment syndrome needs an interdisciplinary approach

Nonatherosclerotic limb ischemia: Prompt evaluation and diagnosis

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