Popliteal artery entrapment syndrome (PAES)

Wikis > Peripheral Vascular Disease > Popliteal artery entrapment syndrome (PAES)

Rare disorder in which popliteal artery becomes compressed or occluded in popliteal fossa. M15x>F. Mean age = about 30yrs.

Aetiology:
Most commonly assumed to be due to an anatomical anomaly of the medial head of the gastrocnemius. Artery may have an anomalous course - generally considered a congenital defect that predisposes the artery to injury. Abnormal fibrous bands have also been implicated.

Clinical features:
Usually an intermittent claudication/leg pain in an otherwise healthy person – especially on exercise – relieved by rest. Pain is usually severe and felt in calf muscles. may describe a coolness feeling, numbness and have blanching of foot. May have muscle weakness or describe an inability to control the foot. May elicit pain on palpation of calf.
Night cramps, parathesias

Treatment:
Surgical

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