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Eventually , an irreversible lesion of the popliteal arterial blood vessel can manifest itself as aneurysmal dilatation , thrombosis , or intercalation and can result in ischemia , peril tree branch viability.(1 )
Despite technological advances in arterial repair , trauma to the popliteal artery continue to be associated with a relatively gamy amputation charge per unit in most civilian and military experiences.(1 )
Is Popliteal Artery Entrapment Syndrome A Serious Condition?
Popliteal artery entrapment syndrome is a very serious condition usually manifesting in the younger age grouping peculiarly between 20 to 40 years . There is progressive compression of the popliteal artery by the muscles of the ulterior compartment of the lower leg . These muscles let in popliteus , gastrocnemius , soleus , etc . which can compress the popliteal arteria if their insertion is faulty . Sometimes the course of the popliteal artery is also unusual lead to getting pin down between the insertions of these muscle .
The entrapment may direct to preventive of the blood flow in the arterial blood vessel and also in the surface area supply by it . It further causes ischemia of the muscles and soft tissue paper of the lower leg leading to degeneration and breakdown of those tissue . If not diagnosed early , it may take to gangrenous changes in the leg peril the limb viability . It is unremarkably unilateral but in very few cases it may also be bilateral .
In the initial phases , there is only pain which is aggravated on exercising and utilization of lower leg muscles . When the ischemia progresses , the pain starts occur even at rest which is screw as gimp . It is intermittent and gets resolved automatically after some time .
If popliteal arteria entrapment syndrome is still not diagnosed , the ischaemia get along leading to gangrene geological formation . If there is an infection of the mortified surface area , it may become stiff gangrene but usually , it is dry sphacelus which whole makes the tissue unviable . The muscles and the other tissue of the leg die and finally , the leg has to cut down to kibosh the transmission and procession of the disease . It has to be amputated as soon as potential . Even after the dry sphacelus has formed , the condition is push aside then it may lead to sepsis , and the affected role may eventually die .
Can Popliteal Artery Entrapment Syndrome Be Reversed?
The discourse for popliteal arteria entrapment syndrome is jolly straight forward and easy if it is diagnosed appropriately in its other phases . The only mode of discussion which is remedial of the disease is surgical . operation has to be done to remove the intromission of the pretend muscle and has to be reinserted after the popliteal arteria is saved.(2 )
If the line of the popliteal artery is abnormal then either the surround tissue is thin out to relieve the popliteal artery or sometimes its itinerary may also be relocated for a diminished length to superintend the condition . Medical treatment is only for pain relief in the earlier circumstance when there is no gimp grow and ischemia is also not there .
Conclusion
Popliteal artery entrapment syndrome is a pretty serious condition if not diagnosed the right way and ignored for a long period of time . It may go to compartment syndrome due to the bursting of aneurism developed in the popliteal artery.(3)It may also conduct to gangrene organization and sepsis once the ischemia has limit up in the tissue paper cater by the popliteal arteria . There may be a necessary of leg amputation in the gangrene cases which makes this shape a very serious one .
The condition can be reverse easy with the help of operative discussion . A general surgeon or an orthopedician removes the insertion of the popliteus muscle and reinsert it at a unlike position where it does not moderate to compression of the popliteal arteria .
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