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Bilateral Popliteal Artery Occlusion in a Competitive Bike Rider: Case Report and Clinical Review

Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom

Mark E. O'Donnell, DSEM, MFSEM UK, MRCSEd

School of Health Sciences, University of Ulster, Jordanstown Campus, Newtownabbey, Northern Ireland, United Kingdom, modonnell904{at}hotmail.com, Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom

Gareth W. Davison, BSc

Sport and Exercise Sciences Research Institute, University of Ulster, Jordanstown Campus, Newtownabbey, Northern Ireland, United Kingdom

Christopher Boyd, MD, FRCR

Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom

Bernard Lee, FRCS

Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom

Chee V. Soong, MD, FRCS

Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom

Since its first description in 1879, popliteal artery entrapment syndrome remains a debilitating condition, which frequently affects young active people. Increased awareness of popliteal artery entrapment syndrome combined with improvements in investigative modalities has resulted in a more frequent diagnosis of this eminently treatable condition. In this article, a rare case of bilateral popliteal artery entrapment syndrome in a physically active 33-year-old man precipitated by competitive Bicycle Moto-Cross riding is presented. A higher index of suspicion for popliteal artery entrapment syndrome is recommended as the underlying pathology in a young active person with symptoms of lower limb claudication. Popliteal artery entrapment syndrome should be investigated with thorough radiological assessment prior to any therapeutic intervention, which is often fraught with difficulty due to chronically diseased vasculature and inherent anatomical anomalies.

Key Words: popliteal • artery • bilateral • entrapment • cycling • BMX

This version was published on August 1, 2008

Vascular and Endovascular Surgery, Vol. 42, No. 4, 380-385 (2008)
DOI: 10.1177/1538574408315202


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