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Popliteal Artery Entrapment Syndrome
N L Grimm1, R Danilkowicz1, C Shortell2
1Duke Sports Medicine Center, Department of Orthopaedics, Duke University Medical Center, Durham, North Carolina.
JBJS Reviews
|January 4, 2020
Summary
Popliteal artery entrapment syndrome, often missed, causes leg pain during exercise. Diagnosis involves physical exams, ankle-brachial index, and advanced imaging like CT or MRI, with vascular surgery consultation for treatment.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
Background:
- Popliteal artery entrapment syndrome (PAES) is a frequently misdiagnosed condition.
- It presents as exertional lower-extremity pain, often overlooked in clinical practice.
Purpose of the Study:
- To highlight the importance of considering PAES in patients with exertional leg pain.
- To outline the diagnostic approach for identifying the underlying cause of popliteal artery entrapment.
Main Methods:
- Physical examination focusing on lower-extremity symptoms.
- Ankle-brachial index (ABI) measurement.
- Advanced imaging: computed tomography angiography (CTA) or magnetic resonance angiography (MRA).
Main Results:
- PAES should be considered in the differential diagnosis of exertional lower-extremity pain.
- ABI and advanced imaging (CTA/MRA) are vital for accurate diagnosis.
- Surgical planning requires consultation with vascular surgery specialists.
Conclusions:
- Early consideration of PAES is crucial for accurate diagnosis.
- A combination of clinical evaluation and advanced imaging ensures proper identification of entrapment.
- Multidisciplinary approach involving vascular surgeons is essential for effective management.
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