Author: Sue Chilton, MD

Educational Pearls:

• An unusual cause of leg pain that can mimic sciatica/claudication

• Predominantly occurring in high endurance athletes, particularly cyclists and runners

• More common in men

• Check supine ABIs 1 minute after activity in the ED: a value

References:

Mansour A, Murney S, Jordan K, Laperna L. Endofibrosis: an unusual cause of leg pain in an athlete. J Sports Med Phys Fitness. 2016 Jan-Feb;56(1-2):157-61. Epub 2015 Jul 3. PubMed PMID: 26140352.

Peach G, Schep G, Palfreeman R, Beard JD, Thompson MM, Hinchliffe RJ. Endofibrosis and kinking of the iliac arteries in athletes: a systematic review. Eur J Vasc Endovasc Surg. 2012;43(2):208–17.