Popliteal entrapment syndrome and age

On the occasion of diagnosing a popliteal entrapment syndrome in a 59-year old man with no cardiovascular risk factors, who developed acute ischemic leg pain during long distance running, we give an overview on this entity with emphasis on patientsage. The different types of the popliteal artery compression syndrome are summarized. The diagnostic and therapeutic approaches are discussed. The most important clinical sign of a popliteal entrapment syndrome is the lack of atherosclerotic risk factors in patients with limited walking distance. Not only in young athletes but also in patients more than 50 years old the popliteal entrapment syndrome has to be taken into account.

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Claudication without risk factors: a case of popliteal entrapment syndrome

BMJ Case Reports ◽

10.1136/bcr-2013-202199 ◽

2013 ◽

Vol 2013 (dec10 1) ◽

pp. bcr2013202199-bcr2013202199

Author(s):

S. T. Shalabi ◽

N. Hussain ◽

H. T. Shalabi ◽

M. K. Lingam

Keyword(s):

Risk Factors ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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Popliteal entrapment syndrome: non-invasive diagnosis and complete recovery after surgery in an 11-year-old boy

Pediatric Radiology ◽

10.1007/s002470050552 ◽

1999 ◽

Vol 29 (2) ◽

pp. 109-111 ◽

Cited By ~ 4

Author(s):

T. Schwarz ◽

Sebastian M. Schellong ◽

Uwe Neumann ◽

Heike Traut ◽

Werner G. Daniel

Keyword(s):

Complete Recovery ◽

Entrapment Syndrome ◽

Non Invasive ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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Popliteal Entrapment Syndrome

Tunnel Syndromes ◽

10.1201/b15927-52 ◽

2001 ◽

pp. 250-255

Keyword(s):

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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Ultrasound is a critical adjunct in the diagnosis and treatment of popliteal entrapment syndrome

Journal of Vascular Surgery ◽

10.1016/j.jvs.2012.10.116 ◽

2013 ◽

Vol 57 (6) ◽

pp. 1695-1697 ◽

Cited By ~ 6

Author(s):

Marlin Wayne Causey ◽

Reagan W. Quan ◽

Thomas K. Curry ◽

Niten Singh

Keyword(s):

Diagnosis And Treatment ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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In Patients with Popliteal Entrapment Syndrome, Does Surgery Improve Quality of Life?

Difficult Decisions in Surgery: An Evidence-Based Approach - Difficult Decisions in Vascular Surgery ◽

10.1007/978-3-319-33293-2_18 ◽

2017 ◽

pp. 207-218

Author(s):

Rachel E. Heneghan ◽

Niten Singh

Keyword(s):

Quality Of Life ◽

Improve Quality ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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Transient Acute Leg Ischemia in a Professional Athlete Caused by Isolated Popliteal Artery Dissection Mimicking Popliteal Entrapment Syndrome

Annals of Vascular Surgery ◽

10.1016/j.avsg.2017.04.015 ◽

2017 ◽

Vol 43 ◽

pp. 316.e15-316.e20

Author(s):

Milos Sladojevic ◽

Marko Dragas ◽

Igor Končar ◽

Oliver Radmili ◽

Miroslav Markovic ◽

...

Keyword(s):

Popliteal Artery ◽

Artery Dissection ◽

Professional Athlete ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome ◽

Leg Ischemia

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Surgical management of functional popliteal entrapment syndrome in athletes

Journal of Vascular Surgery ◽

10.1016/j.jvs.2019.01.068 ◽

2019 ◽

Vol 70 (5) ◽

pp. 1555-1562 ◽

Cited By ~ 3

Author(s):

Kedar S. Lavingia ◽

Anahita Dua ◽

Kara A. Rothenberg ◽

Michael Fredericson ◽

Jason T. Lee

Keyword(s):

Surgical Management ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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Popliteal entrapment syndrome: Misdiagnosed as a compartment syndrome

European Journal of Vascular Surgery ◽

10.1016/s0950-821x(05)80021-0 ◽

1993 ◽

Vol 7 (3) ◽

pp. 342-345 ◽

Cited By ~ 16

Author(s):

M.J. Allen ◽

M.R. Barnes ◽

P.R.F. Bell ◽

A. Bolia ◽

T.C. Hartshorne

Keyword(s):

Compartment Syndrome ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome

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Popliteal entrapment syndrome—The case for a new classification

Vascular ◽

10.1177/17085381211007612 ◽

2021 ◽

pp. 170853812110076

Author(s):

Arjun Jayaraj ◽

Peter Gloviczki ◽

Audra A Duncan ◽

Manju Kalra ◽

Gustavo S Oderich ◽

...

Keyword(s):

Classification System ◽

Femoral Condyle ◽

Preoperative Imaging ◽

New Classification ◽

Entrapment Syndrome ◽

Popliteal Entrapment ◽

Popliteal Entrapment Syndrome ◽

Current Classification ◽

Lateral Head ◽

Current Classification System

Objectives To assess the ability of the current classification system for popliteal entrapment syndrome to accurately capture all patients, and if not, to design an all-inclusive new classification. Methods Retrospective review of all interventions performed for popliteal entrapment syndrome between 1994 and 2013 at our institution was performed. Preoperative imaging and intraoperative findings were used to establish the compressive morphology of popliteal entrapment syndrome. Patients were categorized, when possible, into six types of the current classification system (Rich classification, modified by Levien) and into seven types of a new classification. Results Sixty-seven limbs of 49 patients were operated on for unilateral (31) or bilateral (18) popliteal entrapment syndrome. The current classification system captured the anatomy of only 43 (64%) of 67 limbs with popliteal entrapment syndrome. Compressive morphologies without a defined class included aberrant insertion of the lateral head of gastrocnemius muscle, muscle slip originating from the lateral head of gastrocnemius or hamstrings, hypertrophied hamstring muscle, abnormal fibrous bands, perivascular connective tissue, and prominent lateral femoral condyle. The new classification captured 100% of the limbs with popliteal entrapment syndrome. Conclusions Current classification of popliteal entrapment syndrome is inadequate as more than one-third of the cases reviewed fell outside of the standard classification system. Consideration of a more inclusive new anatomic classification system is warranted.

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