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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2024; 34(02): 283-290
DOI: 10.1055/s-0043-1777014
Review Article

Popliteal Artery-Related Pathologies in Athletes—A Primer for Musculoskeletal Radiologists

Authors

  • Siddharth Thaker 

    1   Department of Radiology, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Infirmary Square, Leicester, United Kingdom

  • Harun Gupta

    2   Department of Musculoskeletal Radiology, Leeds General Infirmary, Leeds Teaching Hospital NHS Trust, Great George Street, Leeds, United Kingdom

  • Joey Beh

    3   Department of Radiology, Ng Teng Fong General Hospital, The National University Health System, Singapore

  • Anand Kirwadi

    4   Department of Radiology, Manchester Royal Infirmary, Manchester University Hospitals Foundation Trust, Manchester, United Kingdom

  • Basavaraj Chari

    5   Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, United Kingdom

Funding None.
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Abstract

Vascular complications in athletes are common and mimic musculoskeletal injuries such as muscle sprains, fractures, and cartilage abnormalities. They include traumatic vascular injuries and more subtle pathologies like entrapment syndromes, pseudoaneurysms, arterial occlusions, and venous thrombosis. Such vascular complications may be occult on imaging and can be difficult for a musculoskeletal radiologist to diagnose, resulting in a lack of timely diagnosis and potentially limb-threatening consequences. Although the final diagnosis may require multidisciplinary input from orthopaedic, sports and exercise medicine, and vascular and interventional radiology inputs, a musculoskeletal radiologist with prior knowledge of such conditions can be the first to diagnose such conditions aiding the athlete's performance. A musculoskeletal radiologist should pay due attention to anatomical courses of vascular channels and look for potential causes of vascular compression, aberrant myotendinous bands, accessory muscles, etc., before concluding a computed tomography (CT) or magnetic resonance imaging (MRI) as normal. Doppler ultrasound, CT, or MR angiography are commonly employed techniques for primary evaluation, whereas digital subtraction angiography is generally reserved for troubleshooting as advanced dynamic imaging.

Keywords

angiography - athletes - popliteal artery - popliteal vessels - sports injuries


Publikationsverlauf

Artikel online veröffentlicht:
23. November 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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