Simon J J, Soppelsa A
J Chir (Paris). 1981 Mar;118(3):179-83.
The authors report on a new case of trapped popliteal artery syndrome. It was bilateral and revealed on one side by acute thrombotic ischemia, leading on this occasion to discovery of the opposite trap. They insist on the extremely easy diagnosis based on a dynamic examination of the limb. The distal pulses must be felt in intermediary position, then after tensing of the gastrocnemia by dorsiflexion of the foot and hyper extension of the knee. Blood velocity measurement by Doppler probes and bifemoralangiography, both dynamic, must precede imperative surgery.
作者报告了一例新的腘动脉陷迫综合征病例。该病例为双侧性,一侧表现为急性血栓性缺血,此次促使发现了对侧的陷迫情况。他们强调基于肢体动态检查的诊断极其容易。必须在中间位置触诊远端脉搏,然后在足部背屈和膝关节过伸使腓肠肌紧张后再次触诊。在进行必要的手术之前,必须先通过多普勒探头进行血流速度测量以及进行动态双股动脉造影。