Symptoma

Popliteal Artery Entrapment Syndrome

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]

  • 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]

  • Military Personnel

    It should be considered in all young military personnel presenting with symptoms of calf claudication. [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]

  • Popliteal Bruit

    Physical examination may reveal tenderness over the medial head of the gastrocnemius ( 10 ), a popliteal bruit accentuated by forceful active ankle plantarflexion ( 15 ), or the absence of distal pulses with plantarflexion ( 17 ) but is quite often normal [journals.lww.com]

  • Lower Leg Pain

    PAES should be considered in the differential diagnosis of chronic or acute lower leg pain in any young patient. Early diagnosis and treatment can prevent limb loss and lead to a good operative outcome. [ncbi.nlm.nih.gov]

    Differential Diagnosis The differential diagnosis of recurrent lower leg pain in an athlete is a lengthy one. [journals.lww.com]

  • 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]

    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 calf pain during exercise. [hopkinsmedicine.org]

    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]

  • Hypertrophy of Calf Muscles

    […] of calf muscles. [boneandspine.com]

  • Muscle Swelling

    swelling disrupting venous outflow Dynamic compression of popliteal artery (or aberrant course of artery) [healio.com]

  • 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]

  • Foot Drop

    Often, it affects young athletic males, with symptoms like calf claudication, weakness, numbness, pain, coldness of the foot, cramps, foot drop and paresthesia. [fupress.net]

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]

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]

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]

Femoral embolectomy does not have any aid to treatment. [ncbi.nlm.nih.gov]

The disease incidence, clinical features, pathology, investigations, treatment and prognosis are reviewed. [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]

[…] 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]

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]

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]

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]