Clinical presentation depends on the degree of arterial lesion, the most common being intermittent claudication, with critical ischemia being frequent. Occasionally, it may present as acute ischaemia. [ncbi.nlm.nih.gov]

• Pain

  […] and other pain syndromes of the leg. [eorif.com]

  These anomalies lead to decreased blood flow to the affected leg with signs of claudication, coldness, and symptoms of exercise-induced leg pain. [ncbi.nlm.nih.gov]

• Intermittent Claudication

  A case of bilateral popliteal artery entrapment syndrome was accurately diagnosed utilizing magnetic resonance imaging (MRI) in a 34-year-old male with intermittent claudication. [ncbi.nlm.nih.gov]

• Asymptomatic

  Following surgery, 12 legs were asymptomatic and five had residual symptoms. CONCLUSION: PAES should be excluded in young patients with intermittent claudication or acute ischaemia. [ncbi.nlm.nih.gov]

  Four subgroups of clinical presentation were found, depending on anatomical variation in the popliteal fossa: Anatomical PAES; Functional PAES; Asymptomatic Occluders and Asymptomatic Non-occluders. [omicsonline.org]

• Surgical Procedure

  CONCLUSION: CT scanning was demonstrated to be the most sensitive diagnostic modality for PAES, and MTS with or without ASV grafting method was considered to be the best surgical procedure for PAES. [ncbi.nlm.nih.gov]

• Disability

  Popliteal artery entrapment syndrome (PAES) is a rare but significant cause of disability usually diagnosed in young, healthy adults. [ncbi.nlm.nih.gov]

  The patient decided to undergo bypass surgery to his left leg because of the extremely disabling symptoms. He had an uncomplicated postoperative course, and his left leg pain disappeared completely. [aafp.org]

• Thrombosis

  Abnormal MRI findings included popliteal artery thrombosis with aneurysm in 2 limbs (29%), popliteal artery thrombosis without aneurysm in 1 limb (14%), aberrant fibrous band in 3 limbs (43%), aberrant thick muscle bundle in 1 limb (14%), insertion anomaly [ncbi.nlm.nih.gov]

• Vascular Disease

  Popliteal artery entrapment syndrome is a rare but potentially limb threatening peripheral vascular disease occurring predominantly in young adults. [ncbi.nlm.nih.gov]

• Calf Pain

  This patient had a classic history of calf pain that worsened with walking and was relieved by rest, running, or bicycle riding. [ncbi.nlm.nih.gov]

  […] and other pain syndromes of the leg. [eorif.com]

  Title Young athlete with bilateral exertional calf pain Recommended Citation Dunbar S, Englund J. Young athlete with bilateral exertional calf pain. J Patient-Centered Res Rev. 2014;1:50. [digitalrepository.aurorahealthcare.org]

  Due to an abnormal course of the popliteal artery and the calf muscle group, the artery can be compressed and reduce blood flow. The consequence of reduced flow from calf contraction is immediate and leads to cramping and calf pain during exercise. [hopkinsmedicine.org]

• Suggestibility

  These cases suggest that an early diagnosis is mandatory to avoid a dramatic clinical outcome and to limit the surgical treatment to a myotomy. [ncbi.nlm.nih.gov]

• Confusion

  It is commonly confused with chronic recurrent exertional compartment syndrome (CRECS). This study evaluated the diagnostic testing, mechanism of injury, and treatment differences between FPAES and CRECS. [ncbi.nlm.nih.gov]

  Because of the absence of anatomic abnormality, this entity is often confused with chronic recurrent exertional compartment syndrome because the complaints are similar. [boneandspine.com]

  Conclusion Functional PAES is a poorly understood condition with a confusing clinical picture and progression. [omicsonline.org]

  Popliteal artery entrapment syndrome mostly affects patients younger than 30 years and might explain symptoms in 40% to 60% of young patients with ischemic-type pain. 6 Popliteal artery entrapment syndrome is often confused with chronic exertional compartment [healio.com]

A full clinical workup was performed on the patient, revealing noncontributory family history, normal laboratory analysis and an inconclusive MRI (magnetic resonance imaging) showing no pathology to explain the clinical symptoms. [miamivascular.com]

Sounds like your surgeon is doing appropriate workup. Good luck. denial - it's not just a river in Egypt Thanks for your reply! [forum.slowtwitch.com]

Differential diagnoses in the workup of exercise-induced leg pain should include musculotendinous injury, exertional compartment syndrome, popliteal artery entrapment syndrome, medial tibial stress syndrome (MTSS) and stress fracture. [podiatrytoday.com]

Additional workup, including compartment pressure measurements at rest and after exercise, completed prior to her presentation to the authors' office had negative results for exertional compartment syndrome. [healio.com]

Currently, its treatment is based only on surgery with variable results. [ncbi.nlm.nih.gov]

Follow-up in all patients at long term showed good prognosis. All of the patients were able to take up their previous physical activities without sequelae. [ncbi.nlm.nih.gov]

[…] encounter see all Popliteal artery ICD-10 codes A- initial encounter D- subsequent encounter S- sequela Popliteal Artery Entrapment Syndrome ICD-9 904.4 Injury to blood vessels of lower extremity; popliteal blood vessels Popliteal Artery Entrapment Syndrome Etiology [eorif.com]

The etiology of lower extremity pain in the younger population (under 40) at rest or with exercise is overwhelmingly a result of musclo sketal disorders. [miamivascular.com]

The etiology of this syndrome is related to anatomical variations determining an altered relationship between popliteal artery and the surrounding structures. [fupress.net]

Exercise-induced leg pain can be related to a number of etiologies, some more elusive than others. [podiatrytoday.com]

Purpose: To evaluate the etiology and work-up of calf pain and intermittent claudication in a young athlete. In this case, the working diagnosis of popliteal artery entrapment syndrome (PAES) proved to be wrong. [digitalrepository.aurorahealthcare.org]

Popliteal artery ICD-10 codes A- initial encounter D- subsequent encounter S- sequela Popliteal Artery Entrapment Syndrome ICD-9 904.4 Injury to blood vessels of lower extremity; popliteal blood vessels Popliteal Artery Entrapment Syndrome Etiology / Epidemiology [eorif.com]

[…] gastrocnemius), medial tibia stress syndrome, fibular and tibial stress fractures, fascial defects, nerve entrapment syndrome, vascular claudication (atherosclerotic or popliteal artery entrapment syndrome) and referred pain from lumbar disc herniation. [3] Epidemiology [en.wikipedia.org]

All types of PAES have the same pathophysiology. Repetitive arterial compression by surrounding structures causes progressive vascular injury. Bilateral PAES is reported in about 30% of cases. [e-sciencecentral.org]

Keywords Popliteal artery; Claudication; Anatomic variation; Pathophysiology Introduction Exertional leg pain is a cause of significant morbidity and limitation of activity to athletes and those who exercise. [omicsonline.org]

Pathophysiology Popliteal artery entrapment syndrome usually occurs in younger patients who are healthier and more active than average for their age group, usually sportsmen requiring repeated sudden and forceful contraction of the calf which leads to [boneandspine.com]

[…] findings Fullness of legs after activity, normal results on pulse examination Foot coldness, absent pulses in later stages Diagnostic studies Abnormal compartment pressure measurements after exercise Dynamic ultrasound and magnetic resonance angiogram Pathophysiology [healio.com]

Since the diagnosis of popliteal artery entrapment syndrome is difficult, early detection of popliteal artery entrapment syndrome is important to prevent its progression. [ncbi.nlm.nih.gov]