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Page 36
Volume 13
Journal of Orthopaedics Trauma Surgery & Related Research
Arthroplasty 2018
September 24-25, 2018
Arthroplasty
September 24-25, 2018 London, UK
11
th
International Conference on
Traumatic popliteal artery entrapment syndrome
Hyun Hee Choi
Chunchoen Sacred Heart Hospital-Hallym University, Republic of Korea
A 20-year-old man presented 1 month history of left calf pain with limping and coldness. He is a soldier. He fell into a tank hatch
by accident 1 month ago. After that accident, he had left calf clamping pain and limping gait. He had no past medical history.
His left lower leg was cold and left foot color was paler. The motor power was decreased to grade 4 and the sensory deficit was
5/10. His left popliteal artery pulse was slightly decreased and dorsalis pedis artery pulse was weak. The simple X-ray showed no
bony abnormalities. The ultrasound showed decreased amplitude of left proximal popliteal artery and disappeared biphasic pattern
of distal left popliteal artery compared with right popliteal artery. But peripheral CT angiography showed no significant luminal
narrowing of both lower leg arteries. We couldn’t perform ankle-brachial index because patient’s pain was severe during tourniquet
compression. So, we checked Digital Infrared Thermal Imaging (DITI). In the DITI, there was no visible thermal imaging of left
below the knee level and it means the left lower leg temperature was below the 26 degree. The MRA showed decreased left artery
size below popliteal artery compared with right artery and MRI showed swelling and edema of left posterior deep muscle. So, we
performed peripheral angiogram, we can find the short segment narrowing of left popliteal artery. He was performed popliteal artery
angioplasty with saphenous vein patch. At post operation 10 days, DITI showed increased left leg temperature, but there was still
temperature deference about 3 degree between left and right leg. At 4 months after surgery, DITI showed no temperature difference
between left and right leg. Therefore, his final diagnosis was traumatic popliteal artery entrapment syndrome. And DITI is a useful
and non-invasive diagnostic tool for evaluation of vascular insufficiency.
Biography
Hyun Hee Choi has her expertise in evaluation and passion in improving the health. Her specialty and interesting subjects are coronary artery disease intervention
and endovascular treatment of peripheral artery disease. She obtained degree of Physics in the Ewha Woman’s University before being Doctor. She has tried to
use her knowledge of physics to evaluation and improvement of medical department.
jumdure@hanmail.netHyun Hee Choi, J Arthroplasty 2018, Volume 13