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About a rare cause of calf pain in an athlete: the popliteal artery entrapment syndrome

机译:关于运动员中小腿疼痛的罕见原因:Popliteal动脉夹紧综合征

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Introduction: Subsequent pain after a central ligament injury of the knee is usually attributed to meniscal or osteochondral damage inherent in trauma or secondary to knee instability. It has not been reported that vascular calf pain can be triggered by knee ligament trauma. Methods: We report a rare case of popliteal artery entrapment syndrome (PAES), discovered during a vascular claudication following post-traumatic anterior instability of the knee. The diagnosis was confirmed by CT angiography which showed a PAES, with a pathway in the inter-condylar notch. The patient had a releasing of the trapped vessel by myomectomy, with disappearance of vascular symptoms six months later. Results: Through this case, we wanted to draw the attention of orthopedic surgeons to the fact that the PAES can be asymptomatic. Its symptomatology can be triggered by a traumatic instability of the knee. Its presence represents a risk of lesion of the popliteal artery during arthroscopic ACL reconstruction. Therefore, it is important to think about this disease if a calf pain occurring after a ligament injury of the knee.
机译:介绍:膝关节中央韧带损伤后随后疼痛通常归因于创伤或继发于膝关节不稳定的半月板或骨质色神经损伤。据报道,血管小牛疼痛可以通过膝盖韧带创伤引发。方法:我们报告了一种罕见的肺癌动脉夹带综合征(PAES),在膝关节后创伤后前端不稳定性之后发现的血管跛行期间发现。通过CT血管造影证实了诊断,其显示PAES,在髁间凹口中具有途径。患者通过Myomecectomy释放被捕获的血管,六个月后血管症状消失。结果:通过这种情况,我们希望引起整形外科医生的注意力,使PAE可以无症状。它的症状学可以通过膝盖的创伤不稳定来触发。其存在表示在关节镜ACL重建期间popliteal动脉病变的风险。因此,如果膝盖韧带损伤后发生小牛疼痛,重要的是考虑这种疾病。

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