title: Bilateral popliteal artery occlusion in a competitive bike rider: case report and clinical review.
abstract: 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.
authors.affiliation: Regional Department of Vascular and Endovascular Surgery, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: Barry J
authors.initials: BJ
authors.lastname: McAree
authors.forename: Mark E
authors.initials: ME
authors.lastname: O'Donnell
authors.forename: Gareth W
authors.initials: GW
authors.lastname: Davison
authors.forename: Christopher
authors.initials: C
authors.lastname: Boyd
authors.forename: Bernard
authors.initials: B
authors.lastname: Lee
authors.forename: Chee V
authors.initials: CV
authors.lastname: Soong
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001642:Bicycling; D015444:Exercise; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D011150:Popliteal Artery / Q000473:pathology* / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation; D013577:Syndrome; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures