Popliteal Artery Entrapment Syndrome: A Diagnostic Enigma. Case Report and Current Concepts Review

in International Journal of Athletic Therapy and Training
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  • 1 The Ohio State University
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Presented here is the case of a 16-year-old male cross-country runner with chronic leg pain who was diagnosed with popliteal artery entrapment syndrome. An extensive workup was performed on the athlete that eventually included a postexercise arteriogram to reach the diagnosis. Ultimately the athlete’s symptoms required him to undergo bilateral leg surgeries to decompress the popliteal arteries. Extensive collaboration between athletic trainers, physical therapists, orthopedic surgery, sports medicine, and vascular surgery was required to treat the athlete’s condition and return him to distance running.

Miller and Backs are with the Sports Medicine Research Institute, The Ohio State University, Lewis Center, OH, USA. Miller is also with The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Miller (Timothy.miller@osumc.edu) is corresponding author.
  • 1.

    Grimm NL, Danilkowicz R, Shortell C, Toth AP. Popliteal artery entrapment syndrome. JBJS Reviews. 2020;8(1):e0035. PubMed ID: 31899696 doi:

  • 2.

    Edwards PH, Jr., Wright ML, Hartman JF. A practical approach for the differential diagnosis of chronic leg pain in the athlete. Am J Sports Med. 2005;33(8):12411249. PubMed ID: 16061959 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Brewer RB, Gregory AJ. Chronic lower leg pain in athletes: a guide for the differential diagnosis, evaluation, and treatment. Sports Health. 2012;4(2):121127. PubMed ID: 23016078 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Pell RFt, Khanuja HS, Cooley GR. Leg pain in the running athlete. J Am Acad Orthop Surg. 2004;12(6):396404. doi:

  • 5.

    Gaunder C, McKinney B, Rivera J. Popliteal artery entrapment or chronic exertional compartment syndrome? Case Rep Med. 2017;2017:1. PubMed ID: 28890727 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Corneloup L, Labanère C, Chevalier L, et al. . Presentation, diagnosis, and management of popliteal artery entrapment syndrome: 11 years of experience with 61 legs. Scand J Med Sci Sports. 2018;28(2):517523. PubMed ID: 28543710 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Hamming JJ. Intermittent claudication at an early age, due to an anomalous course of the popliteal artery. Angiology. 1959;10(5):369371. PubMed ID: 14399340 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Love JW, Whelan TJ. Popliteal artery entrapment syndrome. Am J Surg. 1965;109(5):620624. PubMed ID: 14281885 doi:

  • 9.

    Hicks CW, Black JH, III, Ratchford EV. Popliteal artery entrapment syndrome. Vasc Med. 2019;24(2):190194. PubMed ID: 30739583 doi:

  • 10.

    Turnipseed WD. Popliteal entrapment in runners. Clin Sports Med. 2012;31(2):321328. PubMed ID: 22341020 doi:

  • 11.

    Rignault DP, Pailler JL, Lunel F. The “functional” popliteal entrapment syndrome. Int Angiol. 1985;4(3):341343. PubMed ID: 3831156

    • Search Google Scholar
    • Export Citation
  • 12.

    Gokkus K, Sagtas E, Bakalim T, Taskaya E, Aydin AT. Popliteal entrapment syndrome. a systematic review of the literature and case presentation. Muscles Ligaments Tendons J. 2014;4(2):141148. PubMed ID: 25332925 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Wady H, Badar Z, Farooq Z, Shaw P, Kobayashi K. Avoiding the trap of misdiagnosis: valuable teaching points derived from a case of longstanding popliteal artery entrapment syndrome. Case Rep Med. 2018;2018:15. PubMed ID: 29560004 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Henry HT, Szolomayer LK, Sumpio BE, Sutton KM. Popliteal artery entrapment syndrome: bilateral lower extremity involvement. Orthopedics. 2018;41(2):e295e298. PubMed ID: 28934539 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Lejay A, Delay C, Georg Y, et al. . Five year outcomes of surgical treatment for popliteal artery entrapment syndrome. Eur J Vasc Endovasc Surg. 2016;51(4):557564. PubMed ID: 26905622 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Altintas U, Helgstrand UV, Hansen MA, Stentzer KF, Schroeder TV, Eiberg JP. Popliteal artery entrapment syndrome: ultrasound imaging, intraoperative findings, and clinical outcome. Vasc Endovascular Surg. 2013;47(7):513518. PubMed ID: 23853226 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Turnipseed WD. Functional popliteal artery entrapment syndrome: a poorly understood and often missed diagnosis that is frequently mistreated. J Vasc Surg. 2009;49(5):11891195. PubMed ID: 19394547 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Radonić V, Koplić S, Giunio L, Bozić I, Masković J, Buća A. Popliteal artery entrapment syndrome: diagnosis and management, with report of three cases. Tex Heart Inst J. 2000;27(1):313. PubMed ID: 10830621

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Hai Z, Guangrui S, Yuan Z, et al. . CT angiography and MRI in patients with popliteal artery entrapment syndrome. AJR Am J Roentgenol. 2008;191(6):17601766. PubMed ID: 19020248 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Eliahou R, Sosna J, Bloom AI. Between a rock and a hard place: clinical and imaging features of vascular compression syndromes. Radiographics. 2012;32(1):E33E49. PubMed ID: 22236908 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Liu Y, Sun Y, He X, et al. . Imaging diagnosis and surgical treatment of popliteal artery entrapment syndrome: a single-center experience. Ann Vasc Surg. 2014;28(2):330337. PubMed ID: 24011818 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Shahi N, Arosemena M, Kwon J, Abai B, Salvatore D, DiMuzio P. Functional popliteal artery entrapment syndrome: a review of diagnosis and management. Ann Vasc Surg. 2019;59:259267. PubMed ID: 31028851 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Jarraya M, Simmons S, Farber A, Teytelboym O, Naggara N, Guermazi A. Uncommon diseases of the popliteal artery: a pictorial review. Insights Imaging. 2016;7(5):679688. PubMed ID: 27525419 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Lavingia KS, Dua A, Rothenberg KA, Fredericson M, Lee JT. Surgical management of functional popliteal entrapment syndrome in athletes. J Vasc Surg. 2019;70(5):15551562. PubMed ID: 31327599 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Kim SY, Min SK, Ahn S, Min SI, Ha J, Kim SJ. Long-term outcomes after revascularization for advanced popliteal artery entrapment syndrome with segmental arterial occlusion. J Vasc Surg. 2012;55(1):9097. PubMed ID: 21944915 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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