Adductor canal compression syndrome in an 18-year-old female patient leading to acute critical limb ischemia: A case report

Zhou, Yi; Ryer, Evan J.; Garvin, Robert P.; Irvan, Jeremy; Elmore, James R.

doi:10.1016/j.ijscr.2017.06.030

Cited by 12 publications

(7 citation statements)

References 9 publications

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“…[4] It might be noteworthy that female involvement with reference to adductor's canal syndrome is infrequent. [5] Palma substantiated this observation by arguing that female patients display a more oblique femur position and a larger adductor canal. [6]…”

Section: Adductor's Canal Syndromementioning

confidence: 78%

“…This structure is bounded by the vastus medialis (anterolaterally), the adductor magnus and longus (posteriorly), and the sartorius muscle (medially). [5,7] External arterial compression may originate from an embryologic anomalous musculotendinous band, which arises from the adductor magnus muscle and/or a hypertrophied vastus medialis. [5,8] De Oliveira et al underpin this suggestion, and simultaneously propose a standard age-related modification of connective tissue (increase in transversal fiber density and type III collagen in adults) in the adductor-canal, which prevents the vessels from sliding freely during movements.…”

Section: Pathophysiology -Vascular Compression By Anomalous Musculotementioning

confidence: 99%

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Exercise induced Leg Pain due to Vascular Compression Syndrome

2020

SEMS

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Within a sports medicine setting vascular pathologies of the legs represent a rare entity and are often associated with a significant delay of diagnosis and treatment. Nevertheless, timely detection is crucial when it comes to management of athletes. Three types of vascular compression syndromes are going to be summarized within this review. Therefore, adductor’s canal (or Hunter’s canal) represents an external compression of the superficial artery located in the middle third of the thigh causing exercise-induced calf pain and numbness of toes.

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Section: Adductor's Canal Syndromementioning

confidence: 78%

Section: Pathophysiology -Vascular Compression By Anomalous Musculotementioning

confidence: 99%

Exercise induced Leg Pain due to Vascular Compression Syndrome

2020

SEMS

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“…These include congenital fibrous bands and musculotendinous bands arising from the adductor magnus muscle. 60 Functional ACS occurs secondary to vastus medialis and adductor magnus hypertrophy causing arterial compression. 58 Sapienza et al 58 suggest training may also cause modification of connective tissue surrounding the femoral artery within the adductor canal.…”

Section: Adductor Canal Syndromementioning

confidence: 99%

“…Angiography may also be used and reveal thrombosis of the superficial femoral artery at the level of Hunter's canal in the acute setting. 60 Surgery is indicated in symptomatic individuals, involving patch angioplasty or superficial femoral artery bypass with removal of anatomic abnormalities, which entails resection of the abnormal bands. 60 It is important to consider investigation of the contralateral limb.…”

Section: Adductor Canal Syndromementioning

confidence: 99%

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Overview of arterial pathology related to repetitive trauma in athletes

Menon

Onida

Davies

2019

Journal of Vascular Surgery

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The relationship between the femoral artery and vastus medialis muscle coverage at the adductor hiatus during medial closed wedge distal femoral osteotomy in valgus knees

Kawashima,

Takagi,

Kanzaki

2024

J. exp. orthop.

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PurposeThe purpose of this study was to examine the location where the femoral artery contacts the vastus medialis at the adductor tendon hiatus, which is important when using the subvastus approach in medial closed wedge distal femoral osteotomy. We evaluated the correlation between differences in height, vastus medialis morphology, and lower limb alignment.MethodsSixty knees (16 male, 44 female) that underwent plain computer tomography (CT) were included. Using the radiographic hip‐knee‐ankle (HKA) angle as a reference, the knees were divided into three groups of 20 knees: valgus, varus, and neutral. The mechanical lateral distal femoral angle (mLDFA) and distance from the medial femoral epicondyle to the centre of the femoral head (D1) were measured on full‐length weight‐bearing anteroposterior radiographs. The first cross‐section on CT where the vastus medialis muscle and femoral artery connect was defined as the cross‐sectional image for measurement. The direct distance from the medial epicondyle to the measured cross‐sectional image (D2) was measured in the coronal view. The ratio of the vastus medialis muscle width to the femoral posterior wall width was defined as the vastus medialis muscle coverage ratio (CR). Correlations between each measurement and group were evaluated.ResultsThere was a positive correlation between D1 and D2 in the overall, neutral, and varus groups; however, there was no correlation in the valgus group. A positive correlation was observed in terms of the relationship between CR and D2 in the overall and valgus groups. In addition, there was no statistically significant difference in the correlation between the mLDFA and D2, with patient height as a control variable overall and in all groups.ConclusionIn the valgus group, distance to the adductor hiatus was correlated with vastus medialis coverage. Overhang of the vastus medialis may be an important influencing factor of femoral and popliteus artery position.Level of EvidenceLevel III, retrospective cohort study.

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Adductor canal compression syndrome in an 18-year-old female patient leading to acute critical limb ischemia: A case report

Abstract: HighlightsAdductor canal compression syndrome is an unusual cause of limb ischemia.Adductor canal compression syndrome typically occurs in young, physically fit adults.Knowledge of rare disorders is crucial when treating young patients for limb ischemia.

Cited by 12 publications

References 9 publications

Exercise induced Leg Pain due to Vascular Compression Syndrome

Exercise induced Leg Pain due to Vascular Compression Syndrome

Overview of arterial pathology related to repetitive trauma in athletes

The relationship between the femoral artery and vastus medialis muscle coverage at the adductor hiatus during medial closed wedge distal femoral osteotomy in valgus knees

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