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[A 26-year-old cyclist with intermittent claudication]
M J Scheerder1, P R Schütte, J M Schnater
1Albert Schweitzer Ziekenhuis, locatie Dordwijk, Afd. Chirurgie, Dordrecht. j.m.schnater@amc.uva.nl
Nederlands Tijdschrift Voor Geneeskunde
|August 9, 2006
Summary
Young athletes experiencing leg claudication may have external iliac artery endofibrosis. This condition, often caused by cycling's aerodynamic posture, requires prompt vascular disease consideration.
Area of Science:
- Vascular Surgery
- Sports Medicine
- Cardiovascular Physiology
Background:
- Intermittent claudication in young athletes is often overlooked.
- Vascular disease should be considered in athletes presenting with leg pain during exertion.
Observation:
- A 26-year-old male cyclist presented with left calf claudication.
- Examination revealed external iliac artery occlusion, attributed to endofibrosis from prolonged non-physiological cycling posture.
- Surgical findings included external iliac artery kinking due to psoas muscle impingement.
Findings:
- Endarterectomy and psoas-minor tenotomy were performed to address the external iliac artery endofibrosis.
- Two re-occlusion events occurred, successfully treated with venous and Dacron interposition grafts.
- The patient achieved pain-free training post-treatment.
Implications:
- Arterial endofibrosis is a potential cause of exertional leg pain in athletes.
- Early diagnosis and intervention are crucial for managing vascular complications in athletes.
- This case highlights the importance of considering vascular causes in young athletes with claudication symptoms.