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An Abnormal Presentation of a Popliteal Artery Mass and a Unique Cause of Claudication

Jamil Haddad1, Majed Alzahabi1, Saif L Juma2

  • 1Department of Orthopedic Surgery, McLaren Macomb, Mount Clemens, Michigan, USA.

Case Reports in Orthopedics
|April 24, 2026
PubMed

Insights

Multiple hereditary exostosis (MHE) can cause rare complications like popliteal artery compression from parameniscal cysts. Surgical intervention for this vascular risk in MHE patients effectively resolved symptoms.

Area of Science:

  • Orthopedics
  • Vascular Surgery
  • Genetics

Background:

  • Multiple hereditary exostosis (MHE) is a rare genetic disorder characterized by osteochondromas.
  • Parameniscal cysts, associated with meniscal tears, can lead to vascular compression.
  • Popliteal artery compression is a potential complication in MHE patients.

Purpose of the Study:

  • To report a case of popliteal artery compression caused by a parameniscal cyst in a patient with MHE.
  • To highlight the diagnostic and therapeutic considerations for vascular complications in MHE.

Main Methods:

  • Case presentation of a 28-year-old male with MHE and a parameniscal cyst.
  • Clinical evaluation for lower extremity symptoms.
  • Surgical decompression of the cyst and meniscal repair.

Main Results:

  • The patient presented with intermittent claudication due to popliteal artery compression.
  • Surgical intervention led to complete resolution of claudication.
  • Successful management of the vascular complication associated with MHE.

Conclusions:

  • Parameniscal cysts can cause significant vascular compromise in MHE patients.
  • Early diagnosis and surgical management are crucial for favorable outcomes.
  • This case underscores the importance of considering vascular compression in MHE patients with leg symptoms.

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