
Double Major for Slashing: Management of Blunt Popliteal Fossa Trauma in Ice Hockey in the Setting of Popliteal Artery Entrapment Syndrome
Author(s) -
Brij Mohan Kumar Singh,
Irina Galimova,
Tej M. Singh
Publication year - 2021
Publication title -
clinical journal of sport medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 102
eISSN - 1536-3724
pISSN - 1050-642X
DOI - 10.1097/jsm.0000000000000970
Subject(s) - medicine , popliteal artery , popliteal fossa , surgery , blunt , ice hockey , blunt trauma , gangrene , physical medicine and rehabilitation
Popliteal artery entrapment syndrome (PAES) is a rare condition that produces calf claudication in young patients. It is most commonly a result of aberrant anatomy of the popliteal fossa. If undiagnosed, PAES can lead to acute ischemia and a threatened limb as a result of complete arterial occlusion or embolism. Ice hockey is a contact sport, and slashing on the covered legs is well described as a strategy and contact point. We present a unique case that highlights a blunt popliteal artery injury in a young player with an underlying type 2 PAES. We discuss the initial diagnosis and endovascular/vascular surgical treatment, followed by the delayed management of the popliteal artery injury. We also provide considerations for popliteal fossa blunt trauma and need for future protection of the popliteal fossa for athletes.