High-resolution ultrasound findings in the symptomatic residual limbs of amputees
| Autor: | Jerome Sheahan, John Sullivan, Marian A.R. O'Reilly, Peter M.R. O'Reilly, Helena M.R. O'Reilly |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment prevalence Amputation Surgical Young Adult amputation medicine Humans Young adult overgrowth Aged Ultrasonography Aged 80 and over Pain Postoperative Vascular disease business.industry Osteomyelitis Amputation Stumps Public Health Environmental and Occupational Health Soft tissue General Medicine stumps Middle Aged Neuroma medicine.disease Surgery Venous thrombosis Amputation Female business Meningitis |
| Zdroj: | Military medicine. 178(12) |
| ISSN: | 1930-613X |
| Popis: | Introduction: Amputations are increasingly prevalent because of medical complications associated with diabetes, meningitis, peripheral vascular disease, and neoplasms as well as road traffic accidents and war. The use of ultrasound (U/S) to diagnose the cause of pain in the residual limb of amputees is presented together with a review of the literature. Patients and Methods: 133 civilian patients with one or more amputations were included in the study. They were seen over a 2-year period, at the Douglas Bader Unit, Queen Mary's Hospital, Roehampton, Surrey, United Kingdom, in an outpatient setting. Patients,were scanned using a Philips ATL/HDI 5000 U/S scanner. Results: There were 89 male and 44 female patients, age range 14 to 91 years, with a total of 136 amputated sites. 80% of amputations involved the lower limb. Neuromas were the most frequently found lesions, followed by inflammatory edema, soft-tissue calcifications, bony spurs, soft-tissue infection, overuse injuries, bursae, and skin lesions. Scar tissue, bony erosion, bone infection, aneurysm formation, venous thrombosis, and myodesis failure were less frequently seen. Conclusions: There is a wide spectrum of lesions in the amputated limb, which can be visualized by high-resolution U/S. Neuromas were the most frequent lesions seen. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|