Anatomic popliteal entrapment syndrome is often a difficult diagnosis

Amani D. Politano, Castigliano M. Bhamidipati, Margaret C. Tracci, Gilbert R. Upchurch, Kenneth J. Cherry

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Anatomic popliteal artery entrapment can be challenging to diagnose. Four cases are described in which initial diagnosis and treatment failed to identify and correct the anatomic defect responsible for patients' symptoms. In 3 of these cases, initial assessment and diagnosis was exertional compartment syndrome, yet compartment release did not resolve the complaint. Following accurate diagnosis, surgical release of aberrant popliteal fossa anatomy provided all 4 patients with lasting symptom resolution, though 1 patient with bilateral operations has had relief of only 1 side. In the diagnostic algorithm for these patients, angiography with forced plantarflexion against resistance aids in eliciting the pathognomonic images of arterial occlusion in this disorder.

Original languageEnglish (US)
Pages (from-to)542-545
Number of pages4
JournalVascular and Endovascular Surgery
Volume46
Issue number7
DOIs
StatePublished - Oct 1 2012

Keywords

  • diagnosis
  • popliteal entrapment
  • surgical therapy

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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