title: "Intermittent claudication intermittence" as a manifestation of adventitial cystic disease communicating with the knee joint.
abstract: In this report, we describe a patient with adventitial cystic disease of the popliteal artery, in which direct communication via a duct-like structure between the cystic lesion and the knee-joint synovium resulted in recurrent episodes of intermittent claudication and complete symptom-free intervals (intermittent claudication intermittence). This unusual observation could shed more light on the debated etiology of the disease. Moreover, it emphasizes the importance of complete excision of the cyst along with the presenting anatomic connection with the knee joint.
authors.affiliation: Department of Surgery, Isala Clinics, Weezenlanden, Zwolle, The Netherlands.
authors.forename: Marc P
authors.initials: MP
authors.lastname: Buijsrogge
authors.forename: Suzan
authors.initials: S
authors.lastname: van der Meij
authors.forename: Jan H
authors.initials: JH
authors.lastname: Korte
authors.forename: Wilbert M
authors.initials: WM
authors.lastname: Fritschy
mesh_terms: D000328:Adult; D003238:Connective Tissue / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology*; D007719:Knee Joint / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D011150:Popliteal Artery / Q000473:pathology* / Q000601:surgery; D011151:Popliteal Cyst / Q000150:complications* / Q000473:pathology / Q000601:surgery; D013583:Synovial Membrane / Q000473:pathology; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures