Document Detail


Exertional leg pain: teasing out arterial entrapments.
MedLine Citation:
PMID:  18001609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vascular causes of exertional lower extremity pain are relatively rare, but may be the answer in athletes refractory to treatment for the more common overuse syndromes of the lower extremities. It is important to differentiate these vascular causes from chronic exertional compartment syndrome (CECS), medial tibial stress syndrome (MTSS), and stress fractures in order to develop appropriate treatment plans, avoid complications, and return athletes to play expeditiously. Important vascular etiologies to be considered are popliteal artery entrapment syndrome (PAES), endofibrotic disease, popliteal artery aneurysm, cystic adventitial disease, and peripheral arterial dissections. The diagnostic workup involves angiography or noninvasive vascular studies such as Doppler ultrasound or magnetic resonance angiography in both the neutral and provocative positions. Treatment of these vascular abnormalities typically involves surgical correction of the vascular anomaly.
Authors:
Thomas T Pham; Rahul Kapur; Marc I Harwood
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current sports medicine reports     Volume:  6     ISSN:  1537-8918     ISO Abbreviation:  Curr Sports Med Rep     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-16     Completed Date:  2008-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101134380     Medline TA:  Curr Sports Med Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-5     Citation Subset:  IM    
Affiliation:
Department of Family and Community Medicine, Thomas Jefferson University, 1015 Walnut Street, Suite 401, Philadelphia, PA 19107, USA.
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MeSH Terms
Descriptor/Qualifier:
Angiography
Arterial Occlusive Diseases / diagnosis*,  surgery
Athletic Injuries / diagnosis*,  surgery
Cumulative Trauma Disorders / diagnosis,  surgery
Diagnosis, Differential
Humans
Leg / blood supply*
Magnetic Resonance Imaging
Pain / etiology*
Peripheral Vascular Diseases / diagnosis*,  surgery
Ultrasonography, Doppler

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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