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A case of bilateral entrapment of the popliteal artery by an abnormally placed medial head of the gastrocnemius muscle is reported.
A fairly typical clinical pattern appears to be emerging in this syndrome. It is most commonly seen in young men, in the absence of generalized arterial disease. Claudication may occur almost immediately when the patient begins to walk rather than after he has walked longer distances, as occurs in cases of arteriosclerotic patients. The clinical diagnosis can sometimes be made by extending the knee, which results in loss of pedal pulses and pallor of the foot. Arteriography shows a typical medial deviation of the popliteal artery.
The importance of early diagnosis is stressed, because progressive damage of the artery ultimately leads to thrombosis and peripheral ischemia.
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Accepted: May 22, 1970
© 1971 Published by Elsevier Inc.