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Popliteal artery entrapment syndrome.

S M White¹, C M Witten

¹National Rehabilitation Hospital, Washington, DC.

Archives of Physical Medicine and Rehabilitation

|July 1, 1990

Summary

Popliteal artery entrapment syndrome causes leg pain in young adults. Early diagnosis is crucial for successful treatment, as delayed intervention can lead to severe complications like amputation.

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Area of Science:

Vascular Surgery
Vascular Medicine
Diagnostic Imaging

Background:

Popliteal artery entrapment syndrome (PAES) is a rare vascular condition causing intermittent claudication in young individuals.
PAES involves the abnormal entrapment and compression of the popliteal artery, typically by surrounding muscles or fibrous bands.
This condition can lead to chronic ischemia and significant morbidity if not diagnosed and managed promptly.

Observation:

A case report details a 28-year-old male presenting with classic symptoms of calf pain exacerbated by physical activity and relieved by rest.
Physical examination indicated distal extremity ischemia.
Arteriography revealed signs consistent with chronic occlusive disease of the popliteal artery.

Findings:

The patient's symptoms were characteristic of popliteal artery entrapment syndrome.
Delayed diagnosis and extensive vascular disease precluded standard surgical interventions like arterial grafting.
The patient ultimately required a below-knee amputation due to the severity of the vascular compromise.

Implications:

This case underscores the critical importance of early and accurate diagnosis of PAES in young patients presenting with exertional leg pain.
Prompt surgical intervention, such as arterial release and potential grafting, can prevent limb-threatening complications.
Failure to diagnose PAES early can result in irreversible vascular damage and necessitate drastic surgical outcomes.

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