Functional Popliteal Artery Entrapment Syndrome: A Review of the Anatomy and Pathophysiology

M. Hislop, D. Kennedy, S. Dhupelia
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引用次数: 9

Abstract

Objectives: This paper reviews the knowledge regarding the embryogenesis and anatomy of the popliteal fossa with the aim of determining which variations predispose towards exertional leg pain and Functional Popliteal Artery Entrapment Syndrome (PAES) in particular. Methods: Current literature review and synopsis of published knowledge is presented. Ethics approval was granted for this study by the Greenslopes Research and Ethics Committee. Results: Functional PAES is thought to be more common than previously recognized. Four subgroups of clinical presentation were found, depending on anatomical variation in the popliteal fossa: Anatomical PAES; Functional PAES; Asymptomatic Occluders and Asymptomatic Non-occluders. Features predisposing towards Functional PAES include a more lateralized medial head of gastrocnemius and a lower percentage of maximal force of plantarflexion required to cause occlusion of the artery. Conclusions: Functional PAES may be responsible for a large number of previously unrecognized cases of exertional leg pain, and an understanding of how it develops is important. In understanding the anatomical variations present in the popliteal fossa, one can classify which sub-group the patient belongs to, and how much this predisposes towards the development of exertional leg pain. The necessity for treatment, as well as where interventions should be targeted, can be determined by coupling these investigation findings with clinical features of claudicant leg pain.
功能性腘动脉夹持综合征:解剖学和病理生理学综述
目的:本文回顾了关于腘窝胚胎发生和解剖学的知识,目的是确定哪些变异易导致腿痛和功能性腘动脉夹闭综合征(PAES)。方法:对现有文献进行综述,并对已发表的知识进行综述。greenlopes研究和伦理委员会批准了这项研究的伦理批准。结果:功能性PAES被认为比以前认识到的更常见。根据腘窝的解剖变化,发现了四个临床表现亚组:解剖PAES;甲酸酯功能;无症状闭塞者和无症状闭塞者。易患功能性PAES的特征包括腓肠肌内侧头偏侧和引起动脉闭塞所需的最大跖屈力百分比较低。结论:功能性PAES可能是导致大量以前未被认识到的下肢疼痛病例的原因,了解它是如何发展的很重要。在了解腘窝的解剖学变异后,我们可以对患者所属的亚群进行分类,以及这种亚群在多大程度上易导致下肢活动性疼痛的发生。治疗的必要性,以及干预的目标,可以通过将这些调查结果与跛腿痛的临床特征相结合来确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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