Wetenschap
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Don’t Just Blame it on the Veins: An Update on Vascular Exertional Limb Pain
Exertional limb pain is a common problem encountered in recreational and competitive athletes. Affecting both the upper and lower extremities, this broad entity can be musculoskeletal, vascular, neurologic, oncologic, or infectious in origin. This...
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Arterial pathologies in athletes
Identification and treatment of arterial pathologies in athletes can present a significant challenge because symptoms may be nonspecific and standard examination is often unremarkable. Sportspeople frequently experience long delays to diagnosis, during...
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Peripheral Non-atherosclerotic Arterial Disorders: What Radiologists Need to Know
Peripheral non-atherosclerotic arterial disorders (NAADs) are a heterogeneous group of rather uncommon conditions that tend to manifest in subjects without atherosclerosis. Each of these conditions has distinctive pathophysiology; however, there are...
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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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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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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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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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RADSPORT: Funktionelle Gefäßobstruktionen bei Hochleistungsradsportlern
Zusammenfassung Schmerzen in den Beinen sind bei Athleten häufige Beschwerden. Bei Hochleistungssportlern, die sportbedingt eine Fehlhaltung mit vermehrter Hüftbeugung einnehmen müssen (Radsportler, Eisschnellläufer) sind in ca. 20% der Fälle...
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Endofibrosis of the iliac arteries: an underestimated problem
Arterial endofibrosis is a recently discovered artery disease that is specific to endurance athletes. Cycling is the sport that has shown the greatest number of cases. The endofibrosis is located most frequently in the external iliac artery, but other...
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Past, present and future of arterial endofibrosis in athletes: a point of view
Exercise-induced arterial endofibrosis (EIAE) is now a 20-year-old concept. Initially observed in highly trained cyclists, it has been found in many other male and female endurance athletes. Most stenoses are located on the first centimetres of the...
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Approximately one in five top-level cyclists will develop sports-related flow limitations in the iliac arteries. These flow limitations may be caused by a vascular lumen narrowing due to endofibrotic thickening of the intima and/or by kinking of the...
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Background Athletes may present with arterial problems that are unusual in the typical patient with peripheral vascular disease. They are often handicapped only at the extremes of physical exertion and may have normal arterial pulses beyond any...
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Claudicación intermitente en el adulto joven: arteriopatía no arteriosclerótica
Aim Intermittent claudication in young adults (ICYA) of a non-arteriosclerotic etiology is an infrequent disorder and this means that on many occasions diagnosis is delayed in generally active patients, leading to incapacity and loss of productivity....
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Pain and powerless feeling in the leg during cycling may indicate a serious problem that limits the performance in cyclists. Apart from the well-known muscular and neurological origin, such complaints can also be attributed to flow limitations in the...
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Endofibrosis of the External Iliac Artery in Sportsmen Clinical Review and Four New Cases
Endofibrosis of the external iliac artery is an unusual condition associated with competition cyclists. There seems to be a good prognosis after surgical therapy, consisting of endarterectomy and vein patching in combination with resection if the...
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Explorations vasculaires non vulnérantes chez le sportif
Background. The present article is a review of clinical diagnoses that are to be investigated when a vascular origin of unexplained lower limb pain is suspected, and of the usual results of non-invasive vascular investigations. Results. While suffering...
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External Iliac Artery Endofibrosis in Athletes
Atherosclerosis and inflammatory arterial diseases are rare in young people. Since the early 1980s, an increasing incidence of iliac arterial stenosis in competition cyclists has been reported. Histological findings in these individuals are specific,...