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Popliteal Artery Entrapment Syndrome
The Journal of Orthopaedic and Sports Physical Therapy
|September 2, 2020
Summary
A physical therapist diagnosed popliteal artery entrapment syndrome in a military member with chronic leg pain, initially misdiagnosed as exertional compartment syndrome. Imaging confirmed the rare vascular condition, highlighting the importance of thorough physical examination.
Area of Science:
- Orthopaedics
- Vascular Surgery
- Sports Medicine
Background:
- A 37-year-old military service member presented with chronic low back pain and activity-induced left posterolateral lower-leg pain and paresthesia.
- Initial diagnosis by primary care was exertional compartment syndrome, leading to referral to orthopaedic services.
Observation:
- Physical therapy examination revealed findings suggestive of a vascular anomaly.
- A duplex ultrasound identified an anomaly in the popliteal artery.
Findings:
- The patient was diagnosed with popliteal artery entrapment syndrome.
- Computed tomography angiography and magnetic resonance imaging confirmed the diagnosis of popliteal artery entrapment syndrome.
Implications:
- This case underscores the importance of considering vascular causes in patients with persistent exertional leg pain, even when symptoms mimic musculoskeletal conditions.
- Accurate diagnosis through advanced imaging is crucial for appropriate management of popliteal artery entrapment syndrome.
- Physical therapists play a key role in identifying potential red flags for vascular compromise and facilitating timely referral for definitive diagnosis and treatment.
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