The Journal of Bone and Joint Surgery (American) 84:1659-1663 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.
Intermittent Occlusion of the Popliteal Vein by a Gastrocnemius Rotational Muscle Flap
A Report of Two Cases
Kenneth O. Cho, MD
Investigation performed at the Veterans Administration Medical Center, Martinsburg, West Virginia
Kenneth O. Cho, MD
Veterans Administration Medical Center, Charles Town Road, Route 9, Martinsburg, WV 25401
The author did not receive grants or outside funding in support of his research or preparation of this manuscript. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.
| The first 150 words of the full text of this article appear below. |
 |
Introduction
|
|---|
Popliteal vein entrapment, as opposed to the so-called popliteal artery entrapment syndrome 1,2 , is a rarely recognized clinical entity 3 . The vein can be entrapped in a variety of ways, most commonly by anomalies of the medial head of the gastrocnemius muscle 3-5 , such as a double medial head 3,6,7 or a fibrous extension 8 , and less commonly by compression from an adjoining popliteal artery aneurysm 9 , a broad abnormal insertion band through which the popliteal vessels traverse 10,11 , a popliteal cyst, or an osteochondroma 12,13 .
The present report describes two patients who had intermittent occlusion of the popliteal vein, clinically manifested by chronic edema of the leg caused by active contraction of the transposed gastrocnemius muscle following a rotationplasty of the gastrocnemius muscle for coverage of a skin defect about the knee joint. Both patients were successfully managed with a neurectomy of the motor branch of the posterior tibial nerve . . . [Full Text of this Article]
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
|
