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surgical operation to unloose the calf muscle and arteria usually does not bear upon leg function.(1 )
Most commonly , popliteal arterial blood vessel entrapment syndrome is encounter in young sportswoman or soldiers with well - developed muscular tissue , because the recitation and expansion of muscles next to the popliteal artery exacerbate the moment of the anomalous relationship between brawn and arterial blood vessel . Therefore , military surgeons have acquire a special interest in this disorder.(2 )
How To Diagnose Popliteal Artery Entrapment Syndrome?
Diagnosis qualification of popliteal arterial blood vessel entrapment syndrome commence from history pickings and clinical examination . The affected long time group is mostly between 20 to 40 years with a history of leg annoyance while walk or performing some athletic action . The pain increases with an increase in activities and gets relieved at rest . On clinical examination , there may be soreness of the calfskin musculus , cyanosis of the limb , pallidness of the limb , etc . To make the provisionary diagnosis of popliteal arterial blood vessel entrapment syndrome , one must rule out all other causes of leg pain sensation because it is a diagnosing of exclusion.(1 )
After this , descent press measurement in the upper limb as well as the lower arm is done to compare them . If the blood pressure is low-spirited in the lower arm as compared to the upper arm then it is suspect that there may be stop of the arteria supplying the humbled limb . For a more accurate comparison , the ratio of blood insistency at the ankle and the brachial area is considered which is also known as the ankle - brachial index .
To corroborate the diagnosing of popliteal artery entrapment syndrome , a few of the radiological probe are done which are very specific for this term . A colored duplex house Doppler is urge of the affected leg which helps to identify the pedigree rate of flow in the artery . It also can delimitate the volume and pressure by which the blood is flowing in the popliteal artery .
figure tomography angiography and magnetic resonance angiography are other radiological investigation which can be done to confirm the diagnosis of popliteal arteria entrapment syndrome .
An invasive procedure known as catheter angiography can also be done in which there is a catheter site in the arteria lumen to see the patency of the artery directly . It is the most specific and sensitive method to diagnose this condition.(1 )
What Is The Best Medicine For Popliteal Artery Entrapment Syndrome?
aesculapian handling in the chassis of pain pill is have only in the initial phase when there is only pain in the ass which is not relieved on rest but it is not an effective mode of intervention in the foresighted rill . Surgical discussion is the only curative form of handling for popliteal arterial blood vessel entrapment syndrome . The arterial blood vessel has to be liberate from the entrapment of popliteus muscle or there can be a electrical shunt made by prune the vas and ligate it with another arteria . Sometimes unnatural muscle introduction is also a crusade and can be eliminated by disintegrating the interpolation full stop of the muscle and reinserting it after the entrapment of the popliteal artery is removed .
Conclusion
The symptoms of the affected role and its presentation are very much important in the diagnosis of this condition . The patient should attempt medical advice as soon as the symptom are experienced in such conditions because it is a unsafe condition and can even peril the viability of the limb if it is ignored for a retentive period . Diagnosis can be made base on a few radiological probe such as color Doppler , computed tomography scan , magnetic resonance angiography scans , etc . Catheter angiography is symptomatic as well as a curative form of investigation where if there is blockage found in the arteria it can be removed on site .
The best form of treatment for popliteal artery entrapment syndrome is only operative because it is a unsafe status and take to be corrected as before long as possible .
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