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Popliteal Artery Entrapment Syndrome, Sports Medicine

Bittu Kuruvilla, MD, FAAPMR, CAQSM and Timothy Tiu, MD, FAAPMR, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Anatomic abnormality in popliteal artery entrapment syndrome (PAES) was first described in 1879 by Anderson Stuart, a 64-yr-old medical student, during anatomy dissections 1.

  • Arterial...

DIAGNOSIS

HISTORY

  • Leg (calf or anterolateral compartment) and foot pain/claudication (deep ache or cramping) 5,6:

    • Symptoms are related to the degree of popliteal artery compression 6.

  • Pain typically occu...

TREATMENT

SURGERY/OTHER PROCEDURES

  • Surgery advised in all cases for which PAES is confirmed to prevent long-term arterial damage 3,6

  • Entrapment types I to V:

    • If undamaged popliteal artery and stage 1 (ea...

ONGOING CARE

PROGNOSIS

  • PAES is generally considered progressive if left untreated 3:

    • Can result in eventual complete obstruction of popliteal artery causing risk of severe leg ischemia, disability, or l...

REFERENCES

1
Tsilogianni Z, Grapatsas K, Papanikolaou Z, et al. Popliteal artery entrapment syndrome: a common cause of a rare clinical entity—critical leg ischemia in the young. Mil Med.  2014;17...

ADDITIONAL READING

  • Clemens M, Scott D, Watson J, et al. A diagnostic evolution: surgical experience with popliteal artery entrapment syndrome at a military tertiary referral center. Ann Vasc Surg. ...

CLINICAL PEARLS

  • Sudden onset of claudication symptoms in young adult with no atherosclerotic risk factors is highly suggestive of PAES 3.

  • Isolated popliteal artery aneurysm or occlusion in young and ph...

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