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Concurrent Exertional Compartment Syndrome and Functional Popliteal Artery Entrapment Syndrome: A Case Report
Author(s) -
Drigny Joffrey,
Reboursière Emmanuel,
Desvergée Antoine,
Ruet Alexis,
Hulet Christophe
Publication year - 2019
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1002/pmrj.12081
Subject(s) - medicine , fasciotomy , entrapment , compartment (ship) , popliteal artery , physical examination , magnetic resonance angiography , magnetic resonance imaging , surgery , athletes , clinical history , radiology , physical therapy , adverse effect , oceanography , geology
Exertional leg pain is a common and disabling condition in athletes with challenging diagnosis and management. We report the case of a 29‐year‐old rugby player with a history and clinical examination consistent with chronic exertional compartment syndrome (CECS). Compartment pressure measurement was supportive of the diagnosis. However, magnetic resonance angiography (MRA) with provocative maneuvers showed functional popliteal artery entrapment syndrome (PAES). For the treatment of CECS, bilateral fasciotomy of the anterolateral compartments permitted return to full sport participation in 8 weeks. A follow‐up MR angiogram at 12 months showed resolution of the popliteal entrapment leading us to hypothesize a possible relationship between CECS and functional PAES.