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]
This report describes the presentation and surgical management of a case of PAES presenting with limb pain and includes a review of the literature on this condition.[ncbi.nlm.nih.gov]
We present an 11.5-year-old girl with thrombosed aneurysm of the right popliteal artery, subsequently diagnosed with bilateral type I PAES. Multimodality illustration of the radiological findings is presented.[ncbi.nlm.nih.gov]
The mean age at the time of presentation was 35.0 years (SD, 11.6 years). Claudication was the most frequent presenting symptom (70 of 88 limbs).[ncbi.nlm.nih.gov]
Intermittent claudication was the most frequent presenting symptom (seven of eight limbs). All the patients had Delaney's type III PAES.[ncbi.nlm.nih.gov]
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]
At follow-up, patients were asymptomatic and duplex ultrasound revealed patent reconstruction with no morphological abnormalities.[ncbi.nlm.nih.gov]
Early repair of the muscle anomaly is advocated even in the asymptomatic limb. Two patients with bilateral popliteal artery entrapment causing unilateral popliteal occlusion with distal embolization are reported.[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]
Twelve, 8 and 4 months later the patients were asymptomatic. None of the patients showed popliteal artery compression during plantar flexion on Duplex scanning.[ncbi.nlm.nih.gov]
Popliteal artery entrapment syndrome (PAES) is well-described in adults, but is an uncommon cause of lower-limbpain in children.[ncbi.nlm.nih.gov]
It can be difficult to differentiate from other causes of lower limbpain in young patients, and diagnosis can be challenging.[ncbi.nlm.nih.gov]
This report describes the presentation and surgical management of a case of PAES presenting with limbpain and includes a review of the literature on this condition.[ncbi.nlm.nih.gov]
Popliteal artery entrapment syndrome (PAES) is a rare condition that should be suspected in a young patient with exertional lowerextremitypain.[ncbi.nlm.nih.gov]
A 32-year-old health worker (medical doctor) applied to our clinic with a complaint of lowerextremitypain, paleness, and coldness, post-exercise. He did not have any complaint to make him think as ischemia.[ncbi.nlm.nih.gov]
Legswelling may be noted by some patients. In the later stages, when the artery is affected by stable lesions (stenosis or occlusion, thrombus, or poststenotic aneurysm), symptoms of intermittent calf claudication occur.[boneandspine.com]
Abstract Popliteal artery entrapment syndrome is an extremely rare phenomenon, with only 249 cases in the English literature over the past 30 years.[ncbi.nlm.nih.gov]
., an initial improvement that subsequently reduced over 12 months) and 19% a poor response (i.e., no difference) to treatment.[ncbi.nlm.nih.gov]
MATERIALS AND METHODS: Eight patients (11 legs) who underwent surgical treatment for PAES over a 4-year period were included in this study.[ncbi.nlm.nih.gov]
BACKGROUND: In this study we report our experience with the diagnosis and surgical treatment of popliteal entrapment syndrome (PAES) over a 10-year period.[ncbi.nlm.nih.gov]
We present an 18- year-old female avid soccer player, who complained of severe pain in both calves for over a year. Clinical examination and laboratory data were not helpful for diagnosis. Magnetic resonance imaging of both knees was inconclusive.[ncbi.nlm.nih.gov]
There was no past history of vasculardisease. Neither the arteriography nor the arterial doppler led to definite diagnosis. In our case, only the C.T. scan was contributive to the diagnosis.[ncbi.nlm.nih.gov]
Abstract Popliteal artery entrapment syndrome is an uncommon cause of peripheral vasculardisease in young fit individuals, presenting as progressive claudication or sudden limb ischaemia.[ncbi.nlm.nih.gov]
Due to extensive vasculardisease, grafting was not possible and a below-knee amputation was performed. It is therefore essential to diagnose popliteal artery syndrome early for appropriate management.[ncbi.nlm.nih.gov]
Healthy athletes without peripheral vasculardisease and symptomatic calf and foot claudication should have an early referral to vascular surgery.[ncbi.nlm.nih.gov]
Popliteal artery entrapment syndrome is a rare but potentially limb threatening peripheral vasculardisease occurring predominantly in young adults.[ncbi.nlm.nih.gov]
This patient had a classic history of calfpain that worsened with walking and was relieved by rest, running, or bicycle riding.[ncbi.nlm.nih.gov]
pain during exercise, though bilateral involvement has been reported to occur in as high as 67% of affected patients.[eorif.com]
The consequence of reduced flow from calf contraction is immediate and leads to cramping and calfpain during exercise.[hopkinsmedicine.org]
Title Young athlete with bilateral exertional calfpain Recommended Citation Dunbar S, Englund J. Young athlete with bilateral exertional calfpain. J Patient-Centered Res Rev. 2014;1:50.[digitalrepository.aurorahealthcare.org]
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]
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]
At present, the role of the endovascular technique for PAES is still mainly auxiliary, there is no successful case treated successfully by endovascular treatment without open surgery, and also the long-term follow-up after endovascular treatment are lacking[ncbi.nlm.nih.gov]
Femoral embolectomy does not have any aid to treatment.[ncbi.nlm.nih.gov]
Currently, its treatment is based only on surgery with variable results.[ncbi.nlm.nih.gov]
OBJECTIVE: To determine whether ultrasound-guided injection of botulinum toxin type A (BTX-A) is a viable alternative to surgical intervention for the treatment of functional popliteal artery entrapment syndrome (PAES).[ncbi.nlm.nih.gov]
Prompt diagnosis and surgical treatment are key to complete recovery and the prevention of irreversible complications that may result in limb loss.[ncbi.nlm.nih.gov]
The disease incidence, clinical features, pathology, investigations, treatment and prognosis are reviewed.[ncbi.nlm.nih.gov]
This article explains the condition, its classification and the key examination findings, allowing differentiation from other diagnoses, as well as advice on management, definitive treatment and prognosis.[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]
However, if the diagnosis is made early, the prognosis is usually favorable, following appropriate surgical treatment.[ncbi.nlm.nih.gov]
However, the little research that has been done to determine the prognosis for individuals who have undergone surgery has focused on the patency rate of the arteries after surgery and the presence or absence of complications.[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 this syndrome is related to anatomical variations determining an altered relationship between popliteal artery and the surrounding structures.[fupress.net]
Treatment Treatment of PAES depends upon the etiology.[journals.lww.com]
Also, we believe that the correct diagnosis of the etiology of claudication is of utmost importance to avoid unnecessary medical, endovascular, or surgical treatments.[tgkdc.dergisi.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]
Accurate assessment and monitoring are critical in identifying this syndrome, minimizing complications, and preventing long-term adverse effects on activities of daily living.[ncbi.nlm.nih.gov]
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]
Early diagnosis and treatment can prevent limb loss and lead to a good operative outcome.[ncbi.nlm.nih.gov]
Further study will help determine the optimum dose and frequency of injection to prevent recurrence of symptoms.[ncbi.nlm.nih.gov]
Prompt diagnosis and surgical treatment are key to complete recovery and the prevention of irreversible complications that may result in limb loss.[ncbi.nlm.nih.gov]