Imaging Diagnosis and Surgical Treatment of Popliteal Artery Entrapment Syndrome: A Single-Center Experience

A Case of Overlooked Popliteal Artery Entrapment Syndrome

“…PAES typically presents in younger men as bilateral lower extremity pain that is not alleviated immediately with rest [5-6]. The physical exam is typically within normal limits [5,11].…”

“…PAES typically presents in younger men as bilateral lower extremity pain that is not alleviated immediately with rest [5-6]. The physical exam is typically within normal limits [5,11]. However, if it is suspected, the patient should be assessed by the positional stress test, which consists of performing the provocative maneuvers of dorsiflexion or plantar extension of the ankle joint.…”

“…Most studies report a higher occurrence in male athletes with a mean age between 30 and 35 and find that it is often bilateral [5-10]. PAES may be asymptomatic or it may cause lower extremity claudication, coldness, and numbness during activity.…”

“…PAES may be asymptomatic or it may cause lower extremity claudication, coldness, and numbness during activity. In contrast to peripheral vascular disease where the pain is classically alleviated with rest, the pain in PAES can linger despite rest [5-6].…”

Nonatherosclerotic limb ischemia: Prompt evaluation and diagnosis

“…Magnetic resonance imaging (MRI) and computed tomography (CT) of the lower extremity are useful to identify an arterial abnormality and aberrant muscle anatomy 1,3 ; MRI is currently the gold standard for delineating the muscles of the popliteal fossa. 4 If these studies do not shed light on the diagnosis, arterial angiography with and without provocative maneuvers is useful in identifying compression of the popliteal artery. [1][2][3] Treating popliteal artery entrapment syndrome Treatment depends on the level of arterial injury.…”