Anatomia Clinica

, Volume 6, Issue 3, pp 203–207 | Cite as

The popliteal entrapment syndrome

  • J. -P. Becquemin
  • D. Mellière
  • A. Lamour
  • C. Kenesi
Reviews of Clinical and Radiological Anatomy

Summary

Five examples of the popliteal entrapment syndrome have been reported in 4 patients aged between 17 and 41. The diagnosis in each case was made pre-operatively. The anatomical anomalies consisted in three instances of an abnormally high insertion of the inner gemellus (medial head of gastrocnemius) muscle tendon with the artery located twice in front and once in the middle of the tendon, in another instance compression was due to a hypertrophic musculus plantaris and finally, in the last instance, the anomalies were caused by abnormal fibrous bands. In two instances the artery was thrombosed, in three it was compressed in an intermittent fashion. The patients responded well to treatment, by a graft in the case of thrombosis, and by sectioning the abnormal insertions of the gemellus muscle or the fibrous bands in the others. The frequency of these different anatomical types, the relative evolutivity and the embryological hypotheses are studied in the 111 cases recorded in the literature between 1970 and 1983.

Key words

Popliteal entrapment syndrome 

Le piège poplité

Résumé

Cinq cas de poplitées piégées sont rapportés chez 4 patients dont l'âge était compris entre 17 et 41 ans. Le diagnostic a été fait dans chaque cas en pré-opératoire. Les anomalies anatomiques consistaient trois fois en une insertion anormalement haute du tendon du jumeau interne, l'artère siégeant 2 fois en avant et 1 fois au milieu du tendon, dans un cas en une compression par un muscle plantaire grêle hypertrophique, enfin dans le dernier cas, il s'agissait de bandes fibreuses anormales. Dans 2 cas, l'artère était thrombosée, dans 3 cas, elle était comprimée de façon intermittente. Les patients ont été traités avec succès par pontage en cas de thrombose, et par section des insertions anormales du jumeau interne ou des bandes fibreuses dans les autres cas. La fréquence des différents types anatomiques, l'évolutivité relative, et les hypothèses embryogénétiques sont étudiées à partir de 111 autres cas rapportés dans la littérature entre 1970 et 1983.

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References

  1. 1.
    Bouhoutsos J, Daskalakis E (1981) Muscular abnormalities affecting the popliteal vessels. Br J Surg 68: 501–506PubMedGoogle Scholar
  2. 2.
    Chavatzas D, Barabas A, Martin P (1973) Popliteal artery entrapment. Lancet 28: 181–182Google Scholar
  3. 3.
    Chambardel-Dubreuil L (1925) Variation des artères du pelvis et du membre inférieur. Masson, ParisGoogle Scholar
  4. 4.
    Darling RC, Buckley CJ, Abbott WM, Raines JK (1974) Intermittent claudication in young athletes: popliteal artery entrapment syndrome J Trauma 14: 543–552PubMedGoogle Scholar
  5. 5.
    Delaney TA, Gonzalez LL (1971) Occlusion of popliteal artery due to muscular entrapment. Surgery 69: 97–101PubMedGoogle Scholar
  6. 6.
    Ezzet F, Yettra M (1971) Bilateral popliteal artery entrapment: case report and observation. J Cardiovasc Surg 12: 71–74Google Scholar
  7. 7.
    Ferrero R, Barile C, Bretto P, Buzzacchino A, Ponzio F (1980) Popliteal artery entrapment syndrome. Report on seven cases. J Cardiovasc Surg 21: 45–52Google Scholar
  8. 8.
    Gallagher EG, Hudson TL (1974) Popliteal artery entrapment. Am J Surg 128: 88–90PubMedGoogle Scholar
  9. 9.
    Gedeon A, Puel P, Castany R, Boccardo JP, Barret A, Cerene A, Enjalbert A (1975) Les oblitérations non athéromateuses de l'artère poplitée. Chirurgie 101: 355–360PubMedGoogle Scholar
  10. 10.
    Gibson MHL, Mills JG, Johnson GE, Downs AR (1977) Popliteal entrapment syndrome. Ann Surg 185: 341–348PubMedGoogle Scholar
  11. 11.
    Gost L, Mestre M, Magrinya J, Llobera N (1981) Entrapment syndrome of the popliteal artery. J Cardiovasc Surg 22: 353–359Google Scholar
  12. 12.
    Haimovici H, Sprayregen S, Johnson F (1972) Popliteal artery entrapment by fibrous band. Surgery 72: 789–792PubMedGoogle Scholar
  13. 13.
    Hamilton WJ, Boyd JP, Mossmaw HW (1969) Human Embryology. Effer and Son Company, CambridgeGoogle Scholar
  14. 14.
    Harris JD, Jepson RP (1971) Entrapment of the popliteal artery. Surgery 69: 246–250PubMedGoogle Scholar
  15. 15.
    Ikeda M, Iwase T, Ashida K, Tankawa H (1981) Popliteal artery entrapment syndrome. Report of a case and study of 18 cases in Japan. Am J Surg 141: 726–730PubMedGoogle Scholar
  16. 16.
    Insua JA, Young JR, Humphries AW (1970) Popliteal artery entrapment syndrome. Arch Surg 101: 771–775PubMedGoogle Scholar
  17. 17.
    McDonald PT, Easterbrook JA, Rich NM, Collins GJ, Kozloff L, Clagett GP, Collins JT (1980) Popliteal artery entrapment syndrome. Clinical, noninvasive and angiographie diagnosis. Am J Surg 139: 318–325PubMedGoogle Scholar
  18. 18.
    Mark LK, Kiselow MC, Wagner M, Goodman JJ (1978) Popliteal artery entrapment syndrome. JAMA 240: 465–466PubMedGoogle Scholar
  19. 19.
    Metges PJ, Cosnard G, Pailler JL, Chantome M, Flageat J (1981) L'artère poplitée piégée. J Radiol 62: 331–333PubMedGoogle Scholar
  20. 20.
    Pattern BM (1968) Human Embryology. McGraw Hill Book Company, New YorkGoogle Scholar
  21. 21.
    Quancard X, Mamere L, Tingaud R, Pissas A, Franco A, Gautier R (1978) L'artère poplitée piégée, lésion rare, ou lésion méconnue ? A propos de 6 observations inédites. Lyon chir 102: 37–41Google Scholar
  22. 22.
    Rich NM, Collins GJ, McDonald PT, Kozloff L, Clagett P, Collins JT (1979) Popliteal vascular entrapment. Its increasing interest. Arch Surg 114: 1377–1384PubMedGoogle Scholar
  23. 23.
    Simon JJ, Soppelsa A (1981) Le syndrome de l'artère poplitée piégée. J Chir 118: 179–184Google Scholar
  24. 24.
    Stuart TP (1979) Note on a variation in the course of the popliteal artery. J Anat Physiol 13: 162Google Scholar
  25. 25.
    Testart J, Hautefeuille P (1970) Artériographie poplitée par anomalie anatomique. Ann Chir 24: 201–204PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • J. -P. Becquemin
    • 1
  • D. Mellière
    • 1
  • A. Lamour
    • 1
  • C. Kenesi
    • 2
  1. 1.Unité de Chirurgie vasculaire CHU Henri MondorCréteil CedexFrance
  2. 2.Service d'Orthopédie, Laboratoire d'Anatomie Hôpital Henri MondorUniversité Paris Val-de-MarneCréteil CedexFrance

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