Presentation
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]
Entire Body System
- Lower Extremity Pain
Popliteal artery entrapment syndrome (PAES) is a rare condition that should be suspected in a young patient with exertional lower extremity pain. [ncbi.nlm.nih.gov]
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]
Cardiovascular
- 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]
disease from extrinsic compression. [vasculardiseasemanagement.com]
Musculoskeletal
- 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]
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]
[…] and other pain syndromes of the leg. [eorif.com]
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]
Workup
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]
Treatment
Femoral embolectomy does not have any aid to treatment. [ncbi.nlm.nih.gov]
Prognosis
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]
Etiology
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]
[…] 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 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]
Epidemiology
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]
Pathophysiology
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]
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]
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]
Prevention
The mainstay of treatment is prevention of PA fibrosis because if left untreated, the syndrome leads to irreversible damage to the PA with thrombosis and limb ischemia. [ncbi.nlm.nih.gov]