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Functional Popliteal Artery Entrapment Syndrome: Poorly Understood and Frequently Missed? A Review of Clinical Features, Appropriate Investigations, and Treatment Options.

Hislop M, Kennedy D, Cramp B, Dhupelia S - J Sports Med (Hindawi Publ Corp) (2014)

Bottom Line: Investigating functional PAES is also fraught with potential problems and if it is performed incorrectly, it can result in false negative and false positive findings.When definitive entrapment is confirmed, it is important to identify the level of entrapment so that precise intervention can be performed.Treatment strategies for functional PAES are discussed, including the possibility of a new, less invasive intervention of guided Botulinum toxin injection at the level of entrapment as an alternative to vascular surgery.

View Article: PubMed Central - PubMed

Affiliation: Brisbane Sports and Exercise Medicine Specialists Clinic, 87 Riding Road, Brisbane, QLD 4171, Australia.

ABSTRACT
Functional popliteal artery entrapment syndrome (PAES) is an important and possibly underrecognized cause of exertional leg pain (ELP). As it is poorly understood, it is at risk of misdiagnosis and mismanagement. The features indicative of PAES are outlined, as it can share features with other causes of ELP. Investigating functional PAES is also fraught with potential problems and if it is performed incorrectly, it can result in false negative and false positive findings. A review of the current vascular investigations is provided, highlighting some of the limitations standard tests have in determining functional PAES. Once a clinical suspicion for PAES is satisfied, it is necessary to further distinguish the subcategories of anatomical and functional entrapment and the group of asymptomatic occluders. When definitive entrapment is confirmed, it is important to identify the level of entrapment so that precise intervention can be performed. Treatment strategies for functional PAES are discussed, including the possibility of a new, less invasive intervention of guided Botulinum toxin injection at the level of entrapment as an alternative to vascular surgery.

No MeSH data available.


Related in: MedlinePlus

(a) Patient prone and pushing against a wall (in the direction of the arrow) at 25% maximum plantarflexion force. (b) Patient erect and plantarflexing against full body weight.
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Related In: Results  -  Collection


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fig1: (a) Patient prone and pushing against a wall (in the direction of the arrow) at 25% maximum plantarflexion force. (b) Patient erect and plantarflexing against full body weight.

Mentions: patient is prone and pushing against approximately 25% of maximal plantarflexion force (Figure 1(a)),


Functional Popliteal Artery Entrapment Syndrome: Poorly Understood and Frequently Missed? A Review of Clinical Features, Appropriate Investigations, and Treatment Options.

Hislop M, Kennedy D, Cramp B, Dhupelia S - J Sports Med (Hindawi Publ Corp) (2014)

(a) Patient prone and pushing against a wall (in the direction of the arrow) at 25% maximum plantarflexion force. (b) Patient erect and plantarflexing against full body weight.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4590902&req=5

fig1: (a) Patient prone and pushing against a wall (in the direction of the arrow) at 25% maximum plantarflexion force. (b) Patient erect and plantarflexing against full body weight.
Mentions: patient is prone and pushing against approximately 25% of maximal plantarflexion force (Figure 1(a)),

Bottom Line: Investigating functional PAES is also fraught with potential problems and if it is performed incorrectly, it can result in false negative and false positive findings.When definitive entrapment is confirmed, it is important to identify the level of entrapment so that precise intervention can be performed.Treatment strategies for functional PAES are discussed, including the possibility of a new, less invasive intervention of guided Botulinum toxin injection at the level of entrapment as an alternative to vascular surgery.

View Article: PubMed Central - PubMed

Affiliation: Brisbane Sports and Exercise Medicine Specialists Clinic, 87 Riding Road, Brisbane, QLD 4171, Australia.

ABSTRACT
Functional popliteal artery entrapment syndrome (PAES) is an important and possibly underrecognized cause of exertional leg pain (ELP). As it is poorly understood, it is at risk of misdiagnosis and mismanagement. The features indicative of PAES are outlined, as it can share features with other causes of ELP. Investigating functional PAES is also fraught with potential problems and if it is performed incorrectly, it can result in false negative and false positive findings. A review of the current vascular investigations is provided, highlighting some of the limitations standard tests have in determining functional PAES. Once a clinical suspicion for PAES is satisfied, it is necessary to further distinguish the subcategories of anatomical and functional entrapment and the group of asymptomatic occluders. When definitive entrapment is confirmed, it is important to identify the level of entrapment so that precise intervention can be performed. Treatment strategies for functional PAES are discussed, including the possibility of a new, less invasive intervention of guided Botulinum toxin injection at the level of entrapment as an alternative to vascular surgery.

No MeSH data available.


Related in: MedlinePlus