Related Experiment Video
Updated: Jun 14, 2025
04:34
A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
9.1K
Concurrent Chronic Exertional Compartment Syndrome and Popliteal Artery Entrapment Syndrome
Tiffany R Bellomo1, Connie Hsu2, Pavan Bolla1
1Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Diagnostics (Basel, Switzerland)
|August 29, 2024
Summary
This case report details a collegiate athlete diagnosed with both chronic exertional compartment syndrome (CECS) and popliteal artery entrapment syndrome (PAES). It highlights the importance of considering multiple diagnoses in athletes with exertional leg pain.
Area of Science:
- Sports Medicine
- Vascular Surgery
- Diagnostic Imaging
Background:
- Exertional leg pain is common in athletes, often presenting diagnostic challenges.
- Chronic exertional compartment syndrome (CECS) and popliteal artery entrapment syndrome (PAES) are recognized conditions in athletes.
Observation:
- A collegiate soccer player experienced two years of progressive bilateral exertional calf pain and ankle weakness.
- Initial diagnosis of CECS was made, but suspicion for concurrent PAES prompted further investigation.
Findings:
- Magnetic resonance angiography (MRA) revealed severe bilateral arterial spasm with plantarflexion, confirming PAES.
- The co-occurrence of CECS and PAES is uncommon due to distinct pathophysiological mechanisms.
Implications:
- Clinicians must consider secondary pathologies even after diagnosing a primary condition in athletes.
- Dynamic imaging modalities are crucial for accurate diagnosis of exertional leg pain syndromes.
Related Concept Videos
01:21Sites for measruring blood pressure
1.5K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.5K
01:27Assessment of the Cardiovascular System III: Palpation
251
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
251
01:15Veins of Lower Limbs
698
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
698
01:28Muscles of the Leg that Move the Foot and Toes
1.3K
The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
1.3K
01:11Pulse Assessment Sites
989
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
989
01:26Pneumothorax-I
177
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
177