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Related Experiment Videos

Popliteal vascular entrapment. Its increasing interest.

N M Rich, G J Collins, P T McDonald

    Archives of Surgery (Chicago, Ill. : 1960)
    |December 1, 1979
    PubMed
    Summary

    Popliteal vascular entrapment, caused by abnormal gastrocnemius muscle, affects young athletes and middle-aged individuals. Early evaluation and surgical management are key for successful outcomes in this rare condition.

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    Area of Science:

    • Vascular Surgery
    • Orthopedic Surgery
    • Radiology

    Background:

    • Popliteal vascular entrapment is a rare congenital anomaly.
    • It involves external compression of the popliteal artery by the medial head of the gastrocnemius muscle.
    • Over 100 cases have been reported globally, with a significant portion from the US.

    Purpose of the Study:

    • To review the types and clinical presentations of popliteal vascular entrapment.
    • To document the surgical management and outcomes of affected patients.
    • To highlight the importance of considering this diagnosis in specific patient populations.

    Main Methods:

    • Retrospective review of 14 cases of popliteal vascular entrapment at Walter Reed Army Medical Center (1966-1978).
    • Analysis of clinical data, angiographic findings, and surgical interventions.

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  • Classification of different types of popliteal vascular entrapment.

    • Main Results:

    • The study identified 14 cases over 12.5 years, indicating increasing recognition.
    • Classic angiographic finding is medial deviation of the popliteal artery.
    • Segmental occlusion of the midpopliteal artery can also occur.
    • Successful surgical management was documented for various entrapment types.

    Conclusions:

    • Popliteal vascular entrapment should be suspected in young athletes with exercise-induced claudication and middle-aged patients with popliteal aneurysms.
    • Angiography is crucial for diagnosis, revealing medial deviation or occlusion.
    • Surgical intervention offers successful management for this condition.