Gaunder Christopher, McKinney Brandon, Rivera Jessica
San Antonio Military Medical Center (SAMMC), San Antonio, TX, USA.
Case Rep Med. 2017;2017:6981047. doi: 10.1155/2017/6981047. Epub 2017 Aug 14.
Diagnosis of lower limb pain in an athlete can be a challenging task due to the variety of potential etiologies and ambiguity of presenting symptoms. Five of the most commonly encountered causes of limb pain in athletes are chronic exertional compartment syndrome (CECS), medial tibial stress syndrome (MTSS), tibial stress fractures, soleal sling syndrome, and popliteal artery entrapment syndrome (PAES). Of these, the least frequent but potentially most serious of the pathologies is PAES. With an incidence of less than 1% seen in living subject studies, the condition is rare. However, a missed diagnosis will likely lead to progression of the disease and potential for unnecessary invasive procedures (McAree et al. 2008). In this paper, we present a young athlete misdiagnosed and treated for chronic exertional compartment syndrome. In both descriptive and a quick-reference table format, we review current literature and discuss how best to distinguish functional PAES from other causes of activity-related leg pain.
由于潜在病因多样且症状表现模糊，诊断运动员的下肢疼痛是一项具有挑战性的任务。运动员肢体疼痛最常见的五个原因是慢性运动性骨筋膜室综合征（CECS）、胫骨内侧应力综合征（MTSS）、胫骨应力性骨折、比目鱼肌吊带综合征和腘动脉压迫综合征（PAES）。其中，发病率最低但可能最严重的病理情况是PAES。在活体研究中，其发病率低于1%，这种情况很罕见。然而，漏诊可能会导致疾病进展，并可能进行不必要的侵入性手术（McAree等人，2008年）。在本文中，我们介绍了一名被误诊为慢性运动性骨筋膜室综合征并接受治疗的年轻运动员。我们以描述性和快速参考表的形式回顾了当前的文献，并讨论如何最好地将功能性PAES与其他与活动相关的腿部疼痛原因区分开来。
