A rare case of thrombosis of the popliteal artery due to an exostosis of upper end of tibia is reported. It is rare for exostoses to develop at the upper metaphysial region of the tibia, rare fore vascular complications to develop and particularly rare for these to consist of thromboses. This lesion is a differential diagnosis in young adults with lower limb ischemia. Follow up of these exostoses should be by Doppler, after dynamic arteriography to serve as a reference. Surgical treatment should be adapted to the degree of functional disability and the course of the exostosis or the complications it provokes.
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