Claudication Due to Cystic Adventitial Degeneration

A 50-year-old man, a professional international alpine-skiing coach, presented at the Department of Vascular Surgery with a short history of intermittent ischemic muscle pain of the right lower leg. Reversible claudication typically occurred during physical activity and was relieved after a short rest. At the time point of presentation, the subjective limitations, however, were only low. His medicinal history included traumatic knee injuries from skiing accidents that had been treated surgically twice. Clinical examination revealed no palpable mass in the popliteal fossa but loss of foot pulses with knee flexion (Ishizawa …