Functional Popliteal Artery Entrapment Syndrome: A Review of Diagnosis and Management

Shahi, Niti; Arosemena, Mariano; Kwon, Jeontaik; Abai, Babak; Salvatore, Dawn; DiMuzio, Paul

doi:10.1016/j.avsg.2018.12.105

Cited by 28 publications

(31 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence of popliteal entrapment syndrome is likely underestimated due to underdiagnosis, but recent reports estimate between 0.17% and 3.5% [2]. The condition is most commonly caused by a congenital anomaly that causes the medial or lateral gastrocnemius head to shift towards the popliteal artery during knee flexion, compressing the artery [2,[4][5][6]. It is most commonly seen in young men (85% of cases are male) [2], particularly in bicyclists, runners, and active military personnel (60% of cases occur in male athletes < 30 years old) [2].…”

Section: Discussionmentioning

confidence: 99%

“…It is most commonly seen in young men (85% of cases are male) [2], particularly in bicyclists, runners, and active military personnel (60% of cases occur in male athletes < 30 years old) [2]. It is hypothesized that repetitive overuse gradually leads to the thickening of vessel walls in the popliteal artery due to excessive pressure from the muscle belly [6].…”

Section: Discussionmentioning

confidence: 99%

“…It is thought that changes related to the gastrocnemius muscle, particularly while running or marching, cause muscle hypertrophy with external compression and impingement of the popliteal artery [2]. Notably, unlike most arterial occlusion causes, popliteal entrapment syndrome is not associated with an increased risk of cardiovascular disease [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Popliteal Entrapment Syndrome as a Cause of Chronic Lower Extremity Pain in a 16-Year Old

Naert

Glassberg

Han

et al. 2021

Cureus

View full text Add to dashboard Cite

Popliteal entrapment syndrome is an uncommon cause of intermittent claudication in young patients lacking atherosclerotic risk factors. ZS is a 16-year-old cisgender female with type 1 diabetes complicated by microalbuminuria, obesity (body mass index (BMI) = 45.86 kg/m²), and a history of perinatal stroke with residual right-sided hemiparesis, who presented with six months of worsening bilateral, exertional lower extremity pain. Common causes of chronic bilateral lower extremity pain include peripheral vascular disease and diabetic neuropathy. Less common etiologies include trauma, infection, or juvenile idiopathic arthritis. Given her risk factors, the patient's pain was initially managed as a diabetic neuropathy with pregabalin. Symptoms failed to improve, and she represented with positional coolness of the right lower extremity, diminished pulses of the bilateral lower extremities, and weakness in her toes. CT angiography demonstrated occlusion of the right distal superficial femoral and popliteal arteries and diffused tibial disease. Ultimately, the patient was discovered to have right-sided femoral-popliteal occlusion, and she required urgent femoraltibial bypass. Despite an initial improvement in symptoms postoperatively, she continued to have lower extremity pain and recurrent arterial thrombi, even with antiplatelet and anticoagulation therapy. Eventually, the patient required a right-sided below the knee amputation. This case highlights the high index of suspicion that clinicians must have in young patients with lower extremity pain, both with and without atherosclerotic risk factors, as early intervention facilitates better outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Popliteal Entrapment Syndrome as a Cause of Chronic Lower Extremity Pain in a 16-Year Old

Naert

Glassberg

Han

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…In functional entrapment of the popliteal artery, there is hypertrophy of the gastrocnemius, soleus, and/ or plantar muscles, with no identifiable anatomic abnormality. 16…”

Section: Discussionmentioning

confidence: 99%

Síndrome do aprisionamento da artéria tibial anterior bilateral pelo retináculo extensor do tornozelo: relato de caso

et al. 2020

View full text Add to dashboard Cite

Resumo Os aprisionamentos vasculares são raros. Nos membros inferiores, geralmente são assintomáticos, mas podem causar claudicação intermitente atípica em indivíduos jovens sem fatores de risco para aterosclerose ou doenças inflamatórias. O vaso mais frequentemente acometido é a artéria poplítea, causando a síndrome do aprisionamento da artéria poplítea (SAAP), com sintomas na região dos músculos infrapatelares. Quando o desconforto ao esforço é mais distal, deve-se pensar em outros locais de aprisionamento arterial, como a artéria tibial anterior. Neste trabalho, é relatado o caso de um paciente com claudicação intermitente nos pés devido ao aprisionamento da artéria tibial anterior (AATA) bilateral, causado pelo retináculo dos músculos extensores e diagnosticado pela ultrassonografia vascular e angiotomografia durante flexão plantar. O paciente foi tratado cirurgicamente, evoluindo com melhora dos sintomas clínicos.

show abstract

“…Engen, zum Beispiel durch Muskeln oder Ligamente. Durch sekundäre Faktoren wie Wachstum, muskulärer Trainingszustand, Gefäßelongation oder Unfälle kommt es, bedingt durch wiederkehrende Gefäßtraumen zu Intimaläsionen, Wanddissektionen, Aneurysmabildungen und degenerativen Verschlüssen [9].…”

Section: Kompressionssyndromeunclassified

Arteriell bedingte Beinschmerzen

Kalka

2019

Phlebologie

View full text Add to dashboard Cite

ZusammenfassungIn der differentialdiagnostischen Abwägung von Beinschmerzen spielen arterielle Gefäßerkrankungen eine wichtige Rolle. Nicht selten allerdings werden in der täglichen Arztpraxis zunächst orthopädische und neurologische Ursachen in Erwägung gezogen. Ein Grund ist sicher die facettenreiche Symptomatik und die Heterogenität arterieller Durchblutungsstörungen.Obwohl arteriell bedingte Schmerzen der Beine überwiegend arteriosklerotischer Genese sind, sollte das Vorliegen nicht-arteriosklerotischer Ursachen wie die Embolie, die Gefäßdissektion, Kompressionssyndrome und inflammatorische Erkrankungen immer in Erwägung gezogen werden. Prognoseentscheidend ist das Erkennen einer arteriell bedingten Problematik, die Abschätzung des Schweregrades der Durchblutungsstörung und dadurch auch des Amputationsrisikos der Extremität sowie ein zügiges Management.

show abstract

Functional Popliteal Artery Entrapment Syndrome: A Review of Diagnosis and Management

Cited by 28 publications

References 15 publications

Popliteal Entrapment Syndrome as a Cause of Chronic Lower Extremity Pain in a 16-Year Old

Popliteal Entrapment Syndrome as a Cause of Chronic Lower Extremity Pain in a 16-Year Old

Síndrome do aprisionamento da artéria tibial anterior bilateral pelo retináculo extensor do tornozelo: relato de caso

Arteriell bedingte Beinschmerzen

Contact Info

Product

Resources

About