Armando Chenée, Sherbondy Paul, Simoni Eugene, Cole Sandra
Penn State College of Medicine, University Park, Pennsylvania.
Department of Orthopedic Surgery, Penn State College of Medicine, University Park, Pennsylvania.
JBJS Case Connect. 2024 Feb 29;14(1). doi: 10.2106/JBJS.CC.23.00602. eCollection 2024 Jan 1.
The patient, a 21-year-old female Division I track and field athlete, presents with bilateral calf pain, tightness, numbness, and swelling during activity. Initially diagnosed with chronic exertional compartment syndrome (CECS), she underwent bilateral four-compartment fasciotomies. After 4 months, she experienced persistence of some of her prefasciotomy symptoms and was referred to vascular surgery. A fibrous band was compressing the popliteal artery, making the diagnosis of popliteal artery entrapment syndrome (PAES). She underwent bilateral popliteal artery decompressions. She had a successful recovery with no recurrence of numbness, weakness, or pain.
Recognize that structural PAES may coexist with CECS.
该患者为一名21岁的一级女子田径运动员，活动时出现双侧小腿疼痛、紧绷、麻木和肿胀。最初被诊断为慢性运动性骨筋膜室综合征（CECS），她接受了双侧四骨筋膜室切开术。4个月后，她仍有一些术前症状，于是被转诊至血管外科。一条纤维带压迫腘动脉，诊断为腘动脉压迫综合征（PAES）。她接受了双侧腘动脉减压术。她成功康复，未再出现麻木、无力或疼痛。
认识到结构性PAES可能与CECS共存。
