Wetenschap
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Endofibrosis: an unusual cause of leg pain in an athlete
Endofibrosis of the external iliac artery can occur as a rare complication of high endurance physical activities, particularly cycling, running, and rowing. Symptoms mimic claudication and typically occur with vigorous exercise and improve with rest....
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Exertional leg pain is a common condition seen in runners and the general population. Given the broad differential diagnosis of this complaint, this article focuses on the incidence, anatomy, pathophysiology, clinical presentation, diagnostic...
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Nonatherosclerotic PAD: Approach to Exertional Pain in the Lower Extremities
Atherosclerotic peripheral artery disease is the most common cause of intermittent claudication. Nonatherosclerotic peripheral artery disease is a heterogeneous collection of diseases affecting the extracoronary arteries which is not due to...
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Basic data underlying decision making in nonatherosclerotic causes of intermittent claudication
Although most cases of vasculogenic intermittent claudication are caused by atherosclerosis, there is an important minority of cases that are due to nonatherosclerotic causes. Because of their rarity and younger population affected, often without...
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Conditions Presenting with Symptoms of Peripheral Arterial Disease
Peripheral artery disease (PAD) is estimated to affect more than 20% of people older than 65 years. The vast majority of patients with symptoms suggestive of PAD have atherosclerosis often associated with conventional vascular risk factors such as...
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Iliac artery endofibrosis in a middle-aged female long-distance runner
Exercise-induced iliac artery endofibrosis is a recently described abnormality of the external iliac artery that typically affects younger, healthy endurance athletes. Characteristic of the initially termed cyclist's iliac syndrome is lower limb pain...
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Arterial endofibrosis in endurance athletes: angiographic features and classification
Purpose: To describe the spectrum of angiographic features of arterial endofibrosis and to assess the patterns of associated lesions. Materials and methods: This retrospective study was compliant with the declaration of Helsinki principles. Files of...
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Vascular disorder in a competitive cyclist: a case report
The purpose of this case report was to alert the physical therapist (PT) to the possibility of vascular disorders in endurance athletes with apparent musculoskeletal symptoms. A 33-year-old female injured her knee in a fall and described a history of...
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Iliac blood-flow restrictions causing painful and "powerless" legs are often attributed to overtraining and may develop for some time before being correctly diagnosed. In the current study, differences between actual performance parameters and...
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External iliac artery fibrosis in endurance athletes successfully treated with bypass grafting
Endofibrosis of the external iliac artery is a rare cause of performance-limiting claudication in elite athletes. We describe a 47-year-old male competitive cyclist and a 52-year-old female former international triathlete, with unilateral and bilateral...
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Exertional leg pain in the athlete
Exertional leg pain is a common condition seen in athletes and the general population. Although the differential diagnosis of exertional leg pain is broad, this article focuses on the incidence, anatomy, pathophysiology, clinical presentation,...
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External iliac artery endofibrosis describes an intimal subendothelial fibrosis leading to wall thickening and stenosis that has been described in high-performance athletes. There are anatomical, mechanical, and probably metabolic factors that may...
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Acute thrombosis of external iliac artery secondary to endofibrosis
Iliac endofibrosis is a rare condition caused by chronic wall stress and a subsequent progressive fibrosis that usually affects the external iliac artery. It can present with intermittent claudication and is most commonly found in young athletes...
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External iliac vein stenosis owing to prolonged cycling
Prolonged cycling has previously been associated with external iliac artery stenosis, termed "cyclists' iliac syndrome." However, no association between external iliac vein stenoses and cycling has been previously described. We describe a unique case...
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Endofibrosis in athletes: is a simple bedside exercise helpful or sufficient for the diagnosis?
Objective: Ankle-to-brachial index (ABI) can be easily performed by all physicians. The Ruffier-Dickson (RD) test is an easy procedure to attain moderate exercise at the bedside for physicians who do not have an ergometer. Design: Retrospective...
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In the general population, vascular causes of exercise-induced limb discomfort are most often the result of peripheral artery disease (PAD) due to atherosclerosis. However, several other clinical entities can often mimic the symptoms of atherosclerotic...
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Iliac Artery Endofibrosis in Athletes: A Case Series
Introduction Endofibrosis of the external iliac arteries (IE) occurs in some high-performance athletes, particularly female cyclists, and causes leg pain on extreme exertion. Establishing the diagnosis in these cases is challenging, because a vascular...
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Exertional Leg Pain: Teasing Out Arterial Entrapments
Vascular causes of exertional lower extremity pain are relatively rare, but may be the answer in athletes refractory to treatment for the more common overuse syndromes of the lower extremities. It is important to differentiate these vascular causes...
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Bilateral dissection of external iliac artery
External iliac artery (EIA) dissection and especially bilateral involvement is very rare. We report the case of a 49-year-old male intense bicyclist who had presented a dissection of the left EIA responsible for claudication. He underwent an...
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External iliac artery occlusion in a young female cyclist
After 8 years of high performance training in mountain biking, a top female athlete, aged 23, first complained of diffuse, exercise-induced pain in both thighs. Over a period of the next 4 years, a slight but continuous reduction in her performance was...