Popliteal Artery Entrapment Syndrome 904.4

synonyms: PAES, Popliteal Artery Entrapment Syndrome

Popliteal Artery Entrapment Syndrome ICD-9

• 904.4 Injury to blood vessels of lower extremity; popliteal blood vessels

Popliteal Artery Entrapment Syndrome Etiology / Epidemiology / Natural History

• A partial or complete occlusion of the popliteal artery as a result of aberrant anatomy in the popliteal fossa. 

Popliteal Artery Entrapment Syndrome Anatomy

• Popliteal artery passing medial to the medial head of the gastrocnemius
• Abnormal origin of the medial head of the gastrocnemius
• Presence of an accessory band of the medial head of the gastrocnemius
• Popliteal artery passing deep to the popliteus muscle

Popliteal Artery Entrapment Syndrome Clinical Evaluation

• Symptoms include unilateral calf pain during exercise, though bilateral involvement has been reported to occur in as high as 67% of affected patients. 
• Patients may progess to experience pain at rest. 
• PAES patients will have diminished dorsalis pedis and/or posterior tibialis pulses on exertion. 
• Hair loss and pallor are not commonly seen in PAES.

Popliteal Artery Entrapment Syndrome Xray / Diagnositc Tests

Popliteal Artery Entrapment Syndrome Classification / Treatment

Popliteal Artery Entrapment Syndrome Associated Injuries / Differential Diagnosis

• CECC can be differentiated from PAES by the presence of palpable pulses and elevated compartment pressures. 

Popliteal Artery Entrapment Syndrome Complications

Popliteal Artery Entrapment Syndrome Follow-up Care

Popliteal Artery Entrapment Syndrome Review References

• Touliopolous S, Hershman EB: Lower leg pain: Diagnosis and treatment of compartment syndromes and other pain syndromes of the leg.  Sports Med 1999;27:193-204
• Rudo ND, Noble HB, Conn J: Popliteal artery entrapment syndrome in athletes. Physician Sports Medicine 1982;10:105-114.