| Vascular claudication in a young patient: popliteal entrapment syndrome. | |
| | |
MedLine Citation:
|
PMID: 19801699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Popliteal artery entrapment syndrome is an important, albeit infrequent, cause of severe disability among young adults and athletes with anomalous anatomic relationships of the musculotendinous structures surrounding the popliteal artery. We report a case where duplex ultrasonography and dynamic magnetic resonance arteriography was used to diagnose popliteal artery entrapment. We used a posterior surgical approach to give the best view of the anatomic structures compressing the popliteal artery. Compression had not yet damaged the arterial wall, therefore operative decompression of the artery by resection of the aberrant muscle was sufficient. The result was complete recovery, with absence of symptoms and with patency verified by Doppler examination. We conclude that emergency physicians who encounter young patients with progressive lower limb arterial insufficiency should be aware of the possibility of popliteal artery entrapment. Early diagnosis using physical examination, history taking, and imaging is necessary. The treatment of choice is surgical correction to achieve normal anatomy within the popliteal fossa. |
| | |
Authors:
|
Graham Roche-Nagle; K T Wong; George Oreopoulos |
Related Documents
:
|
2354719 - The popliteal artery entrapment syndrome: presentation, morphology and surgical treatme... 9574579 - Mechanical thrombolysis of acute occlusion of both the superficial and the deep femoral... 22003739 - Patient-specific mitral leaflet segmentation from 4d ultrasound. 21922959 - Estimation of force on vascular wall caused by insertion of self-expanding stents. 7448659 - Does vascular steal occur following femorofemoral bypass grafting? 885899 - Possible femoral "steal" syndrome following femoral-femoral bypass. 8487559 - Acceleration of neointima formation in vascular prostheses by transplantation of autolo... 2348929 - Haemorrhagic shock due to primary aortoduodenal fistula. 3664909 - Arterial pao2 and paco2 influence seizure duration in dogs receiving electroconvulsive ... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine Volume: 15 ISSN: 1024-2708 ISO Abbreviation: Hong Kong Med J Publication Date: 2009 Oct |
Date Detail:
|
Created Date: 2009-10-05 Completed Date: 2009-12-31 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9512509 Medline TA: Hong Kong Med J Country: China |
Other Details:
|
Languages: eng Pagination: 388-90 Citation Subset: IM |
Affiliation:
|
Department of Vascular and Endovascular Surgery, Toronto General Hospital, Toronto, ON, Canada. grnagle@rcsi.ie |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arterial Occlusive Diseases / diagnosis*, surgery Constriction, Pathologic / diagnosis, surgery Humans Intermittent Claudication / diagnosis*, etiology, surgery Magnetic Resonance Angiography / methods Male Popliteal Artery / pathology*, ultrasonography Syndrome Ultrasonography, Doppler / methods Vascular Surgical Procedures / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Hoffa fracture: should precautions be taken during fixation and rehabilitation?
Next Document: A serologically proven case of cat-scratch disease presenting with neuroretinitis.