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The popliteal artery entrapment syndrome (PAES) is an uncommon pathology that occurs when the popliteal artery is compressed by the surrounding popliteal fossa myofascial structures. [1] This results in claudication and chronic leg ischemia. This condition mainly occurs more in young athletes than in the elderlies. [2]
Blockages caused by plaque build-up or atherosclerosis in any of these arteries can reduce leg blood circulation, causing leg pain that may interfere with daily life. [4] Standard popliteal bypass surgery involves the bypass of the popliteal artery. [5] During surgery, incisions are made depending on the location of the blockage. [3]
The bones of the popliteal fossa are the femur and the tibia. Like other flexion surfaces of large joints ( groin , armpit , cubital fossa and essentially the anterior part of the neck ), it is an area where blood vessels and nerves pass relatively superficially, and with an increased number of lymph nodes .
The popliteal fossa is to be examined bilaterally (on both sides) with the knee in a semi-flexed position. In some 60% of cases, the popliteal aneurysm presents as a palpable pulsatile mass at the level of the knee joint. Doppler ultrasonography is the preferred diagnostic method. CT angiography and MR angiography may also be employed. [2]
The deep fascia of leg or crural fascia forms a complete investment to the muscles, and is fused with the periosteum over the subcutaneous surfaces of the bones.. The deep fascia of the leg is continuous above with the fascia lata (deep fascia of the thigh), and is attached around the knee to the patella, the patellar ligament, the tuberosity and condyles of the tibia, and the head of the fibula.
The depression at the back of the knee, or kneepit is the popliteal fossa, colloquially called the ham. The tendons of the above muscles can be felt as prominent cords on both sides of the fossa—the biceps femoris tendon on the lateral side and the semimembranosus and semitendinosus tendons on the medial side.
The symptoms of pseudothrombophlebitis include pain, swelling, erythema and tenderness. It most commonly, but not exclusively, affects the legs. The presence of a popliteal cyst makes this diagnosis more likely. However, the presence of a popliteal cyst does not rule out deep vein thrombosis and warrants further investigation ...
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle.It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.