Popliteal artery entrapment in a high school athlete

Duwelius, Paul J.; Kelbel, J. Michael; Jardon, O M; Walsh, William M.

doi:10.1177/036354658701500414

Cited by 15 publications

(10 citation statements)

References 10 publications

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“…12,13,27,47,53 This condition predominantly occurs in males under the age of 30. 2,11,12,16,32,35,36,38,53 Often transpiring after high-intensity exercise with excessive dorsiflexion and plantar flexion of the ankle, PAES commonly occurs in football, basketball, soccer, and running athletes. 11,53 Although PAES typically presents unilaterally, some studies report a bilateral incidence as high as 83%.…”

Section: Popliteal Artery Entrapment Syndromementioning

confidence: 99%

“…1,2,11,32,35 Early operative treatment involves release of the popliteal artery and restoration of normal arterial flow. 16,32 When the physical examination indicates no arterial damage, a myotomy is performed with release of the offending fibrous band 16,53 ; however, in more advanced cases involving popliteal endofibrosis or arteriosclerosis, endarterectomy and vein patch angioplasty are warranted. 16 Finally, if complete occlusion occurs, a saphenous vein bypass graft is required.…”

Section: Popliteal Artery Entrapment Syndromementioning

confidence: 99%

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A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete

Edwards

Wright²,

Hartman³

2005

Am J Sports Med

172

156

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Chronic lower leg pain results from various conditions, most commonly, medial tibial stress syndrome, stress fracture, chronic exertional compartment syndrome, nerve entrapment, and popliteal artery entrapment syndrome. Symptoms associated with these conditions often overlap, making a definitive diagnosis difficult. As a result, an algorithmic approach was created to aid in the evaluation of patients with complaints of lower leg pain and to assist in defining a diagnosis by providing recommended diagnostic studies for each condition. A comprehensive physical examination is imperative to confirm a diagnosis and should begin with an inquiry regarding the location and onset of the patient's pain and tenderness. Confirmation of the diagnosis requires performing the appropriate diagnostic studies, including radiographs, bone scans, magnetic resonance imaging, magnetic resonance angiography, compartmental pressure measurements, and arteriograms. Although most conditions causing lower leg pain are treated successfully with nonsurgical management, some syndromes, such as popliteal artery entrapment syndrome, may require surgical intervention. Regardless of the form of treatment, return to activity must be gradual and individualized for each patient to prevent future athletic injury.

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Section: Popliteal Artery Entrapment Syndromementioning

confidence: 99%

Section: Popliteal Artery Entrapment Syndromementioning

confidence: 99%

A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete

Edwards

Wright²,

Hartman³

2005

Am J Sports Med

172

156

View full text Add to dashboard Cite

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“…Sports Med. high school athlete Duwelius PJ et al 37 Intermittent claudication in an athlete-1982 Can J Appl 26-year-old female athlete popliteal artery entrapment:…”

Section: Continuementioning

confidence: 99%

Popliteal entrapment syndrome. A systematic review of the literature and case presentation

Gokkus

Sagtas

Bakalim

et al. 2019

Muscle Ligaments and Tendons J

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Popliteal artery entrapment syndrome (PAES) is rare in young adults. Claudication of the young patient, which is often overlooked, is a very rare symptom for orthopedic surgeons. In elder patients, the physician might expect atherosclerotic claudication, however in young patients, popliteal artery entrapment syndrome (PAES) should be considered as a possibility in the cases of claudication. Here, an unusual presentation of an uncommon disease that is not widely known by orthopedic surgeons is reported.

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“…PAES appears to be most common in young athletic male patients (13,14,15). However, the finding that the condition is more common in males may be due to the over representation of articles from military hospitals who treat a predominantly male population (16), or possibly due to the fact that on average, males tend to be more active than females and would thus be more likely to suffer symptoms.…”

Section: Recommendationsmentioning

confidence: 99%

Prognosis After Popliteal Artery Entrapment Syndrome Surgery

Stager

Clement

McKenzie

et al. 1999

Clinical Journal of Sport Medicine

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The main purpose of this study was to determine the prognosis after Popliteal Artery Entrapment Syndrome (PAES) surgery for young, active individuals. The hypothesis was that after PAES surgery, full restoration of activity level and sport performance with Improvements In exercise-induced leg pain (EILP) and activity tolerance occurs when the surgery is can-led out at an early stage of the condition. Twenty-three subjects all having had PAES surgery were Interviewed and visual analogue scales were used to record data on: 1) activity levels, 2) performance levels, 3) intensity of leg symptoms and 4) intensity of activity tolerated. The above Information was evaluated at three different times: 1) prior to the development of symptoms, 2) at the peak of symptoms (preop), and 3) at the present time (follow-up). Each Individual underwent a medical evaluation as well as Duplex Ultrasonography of the affected popliteal artery (les). Lastly, the subjects performed a progressive treadmill test. Control subjects that were matched for age, sex and education level were recruited for comparison. Results showed that the treatment group's activity level did not change significantly over the time periods. However, the treatment group experienced a significant decrease in its activity from its premorbid level to its current level when compared with the control group (p<.001). Reviewing the performance data, it was evident that the development of PAES caused a significant drop in activity performance for affected Individuals (p<.001). Furthermore, the performance did not return to presymptomatic levels after surgery. This result was observed when the treatment group was evaluated on its own (.02>p>.05) and also when compared with the control group (.01>p>.001). The combination of PAES surgery and time did bring about a significant decrease In leg symptoms while exercising when compared with the control group (p<.001). Similarly, an increase in the Intensity of activity possible before symptom onset was noted after surgery when compared with the control group (p<.001). A prospective study of PAES patients would be valuable to further define the prognosis for individuals undergoing PAES surgery. Ill TABLE OF CONTENTS ABSTRACT ii LIST OF TABLES v LIST OF FIGURES vi

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Popliteal artery entrapment in a high school athlete

Cited by 15 publications

References 10 publications

A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete

A Practical Approach for the Differential Diagnosis of Chronic Leg Pain in the Athlete

Popliteal entrapment syndrome. A systematic review of the literature and case presentation

Prognosis After Popliteal Artery Entrapment Syndrome Surgery

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