 The patient was treated with myotomy of the medial head of the gastrocnemius muscle and concomitant endarterectomy of the popliteal artery.They later reported four more cases and claimed that the incidence of this pathology in patients younger than 30 years old with claudication was 40%.Servello was the first to draw attention to diminished distal pulses observed with forced plantar- or dorsiflexion in patients suffering from this syndrome.