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Updated: Jul 20, 2025
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A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
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A Rare Case Report of Exertional Leg Pain
Paige Dyrek1, Anne Kuwabara, Michael Fredericson
1Division of Physical Medicine and Rehabilitation, Department of Orthopedic Surgery, Stanford University, Stanford, California.
Summary
Diagnosing exertional leg pain in athletes can be challenging. This case report details a runner with combined popliteal artery entrapment and soleal sling syndromes, highlighting diagnostic and management complexities.
Area of Science:
- Sports Medicine
- Vascular Surgery
- Orthopedic Surgery
Background:
- Exertional leg pain in athletes often presents with vague symptoms, delaying accurate diagnosis.
- Popliteal artery entrapment syndrome (PAES) and soleal sling syndrome (SSS) are uncommon but significant causes of exertional leg pain.
- Differentiating between these conditions is crucial for effective treatment.
Observation:
- A runner presented with exertional leg pain.
- The pain was attributed to a combination of popliteal artery entrapment and soleal sling syndromes.
- Clinical presentation of PAES and SSS can overlap significantly.
Findings:
- Combined PAES and SSS can present similarly, complicating diagnosis.
- Diagnostic workup requires careful consideration of vascular and muscular etiologies.
- Surgical approaches differ based on the specific entrapment or compression identified.
Implications:
- Improved diagnostic strategies are needed for exertional leg pain in athletes.
- Understanding the nuances between PAES and SSS can lead to earlier and more accurate diagnoses.
- Timely and appropriate management can improve outcomes for athletes experiencing leg pain.
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