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Popliteal Artery Entrapment

  • Luca di Marzo
  • Norman M. Rich
Chapter

Case Report

A 26-year-old female presented with a 6-year history of cold foot, paraesthesia and cramping in both legs after intensive physical training. She was a recreational bodybuilder and complained of her symptoms mostly after sporting activity. Symptoms subsequently became more severe, with cramping requiring 20 min to release after sport.

Question 1

What is the presentation of cases with popliteal artery entrapment?
  1. A.

    The patient is often sporty with muscular calves.

     
  2. B.

    The patient often complains of rest pain or necrosis.

     
  3. C.

    The patient often complains of mild symptoms with paraesthesia, cold foot and cramping after intensive physical training.

     
  4. D.

    Venous complains are often encountered.

     
  5. E.

    Symptoms due to arterial embolisation are often present.

     
The patient smoked 20 cigarettes a day. Her past medical history included pancreatitis when she was 12 years old and tonsillectomy when she was 19 years old. On physical examination, she appeared healthy, with both legs...

References

  1. 1.
    Hamming JJ. Intermittent claudication at an early age due to anomalous course of the popliteal artery. Angiology. 1959;10:369–70.CrossRefPubMedGoogle Scholar
  2. 2.
    Stuart PTA. Note on a variation in the course of the popliteal artery. J Anat Physiol. 1879;13:162.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Bouhoutsos J, Daskalakis E. Muscular abnormalities affecting the popliteal vessels. Br J Surg. 1981;68:501–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Rich NM, Collins GJ, McDonald PT, Kozloff L, Claget PG, Collins JT. Popliteal vascular entrapment. Its increasing interest. Arch Surg. 1979;114:1377–84.CrossRefPubMedGoogle Scholar
  5. 5.
    Di Marzo L, Cavallaro A, Mingoli A, Sapienza P, Tedesco M, Stipa S. Popliteal artery entrapment syndrome: the role of early diagnosis and treatment. Surgery. 1997;122:26–31.CrossRefPubMedGoogle Scholar
  6. 6.
    Levien L, Veller MG. Popliteal artery entrapment syndrome: more common than previously recognized. J Vasc Surg. 1999;30:587–98.CrossRefPubMedGoogle Scholar
  7. 7.
    Di Marzo L, Cavallaro A, Sciacca V, Mingoli A, Stipa S. Natural history of entrapment of the popliteal artery. J Am Coll Surg. 1994;178:553–6.PubMedGoogle Scholar
  8. 8.
    Rignault DP, Pailler JL, Lunel F. The “functional” popliteal entrapment syndrome. Int Angiol. 1985;4:341–3.PubMedGoogle Scholar
  9. 9.
    Turnipseed WD, Pozniak M. Popliteal entrapment as a result of neurovascular compression by the soleus and plantaris muscles. J Vasc Surg. 1992;15:285–94.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery P ValdoniSapienza University of RomeRomeItaly
  2. 2.Department of SurgeryF Edward Hébert School of Medicine, Uniformed Services University of the Health SciencesBethesdaUSA

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