ADVENTITIOUS BURSAE IN BELOW KNEE AMPUTEES Case Reports and a Review of the Literature

Ahmed, Altaf; Bayol, Marcel G.; Ha, Sang Bae

doi:10.1097/00002060-199404000-00009

Cited by 23 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Authors such as Studler et al (28) describe these as slit‐like cavities of fluid lacking a synovial membrane that manifest predominantly in areas of torsional stress. This is perhaps reinforced by the findings of Ahmed et al (29), who report the development of mechanical bursae at the socket interface in 4 patients who underwent below the knee amputations. In such instances, mechanical FFB may be considered advantageous, allowing compression or torsion between otherwise densely fibrous, rigid tissues.…”

Section: Discussionmentioning

confidence: 71%

“…Additionally, changes both in FFB presence and disease activity were associated with changes in reported disability. Two plausible hypotheses explaining the relationship between FFB presence and foot‐related disability in patients with RA have been proposed: 1) FFB synovium is susceptible to disease‐mediated inflammatory processes in a similar manner to joint synovium, and FFB are therefore representative of disease activity (27), and 2) FFB occur or hypertrophy as a consequence of poor forefoot biomechanical function, and are therefore indicative of physical changes in joint function (28, 29). A combination of both hypotheses is also plausible.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prognostic indicators of foot‐related disability in patients with rheumatoid arthritis: Results of a prospective three‐year study

Hooper¹,

Bowen²,

Gates³

et al. 2012

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. To determine the prevalence and natural history of foot-related disability in patients with rheumatoid arthritis (RA). A secondary aim was to identify explanatory variables, including forefoot bursae, that are either associated with or predictive of disabling foot complications in patients with RA. Methods. A longitudinal prospective cohort study recruited patients with RA from a rheumatology outpatient clinic. Data were collected at baseline (n ‫؍‬ 149) and 1-year (n ‫؍‬ 120) and 3-year followup (n ‫؍‬ 60). Patient-reported disabling foot complications were evaluated using the subscales of the Foot Impairment Score (

show abstract

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Prognostic indicators of foot‐related disability in patients with rheumatoid arthritis: Results of a prospective three‐year study

Hooper¹,

Bowen²,

Gates³

et al. 2012

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…Clinical presentation varies from mechanical pain, inflammatory manifestations (erythema, swelling, local heat) and variation of stump volume to a fluctuating palpable mass. 21 Plain radiography may reveal contributory osseous abnormalities at amputation site and/or soft-tissue thickening overlying the amputation end (Figure 2a). High-resolution ultrasound is often the first-line investigation in assessment of these patients.…”

Section: Stump Bursitismentioning

confidence: 99%

Multimodality imaging review of the post-amputation stump pain

Subedi¹,

Heire²,

Parmer³

et al. 2016

The British Journal of Radiology

View full text Add to dashboard Cite

Limb amputation is one of the oldest known surgical procedures performed for a variety of indications. Little surgical technical improvements have been made since the first procedure, but perioperative and post-operative refinements have occurred over time. Post-amputation pain (PAP) of the stump is a common complication but is an extremely challenging condition to treat. Imaging allows early diagnosis of the underlying cause so that timely intervention is possible to minimize physical disability with its possible psychological and socioeconomic implications. A multidisciplinary approach should be taken involving the rehabilitation medicine team, surgeon, prosthetist, occupational therapist and social workers. Conventional radiographs demonstrate the osseous origin of PAP while high-resolution ultrasound is preferred to assess soft-tissue abnormalities. These are often the first-line investigations. MRI remains as a problemsolving tool when clinical and imaging findings are equivocal. This article aimed to raise a clear understanding of common pathologies expected in the assessment of PAP. A selection of multimodality images from our Specialist Mobility and Rehabilitation Unit are presented so that radiologists are aware of and recognize the spectrum of pathological conditions involving the amputation stump. These include but are not limited to aggressive bone spurs, heterotopic ossification, soft-tissue inflammation (stump bursitis), collection, nervosas, osteomyelitis etc. The role of the radiologist in reaching the diagnosis early is vital so that appropriate treatment can be instituted to limit long-term disability. The panel of authors hopes this article helps readers identify the spectrum of pathological conditions involving the post-amputation stump by recognizing the imaging features of the abnormalities in different imaging modalities.

show abstract

“…108 127 Non-uniform slippage of the socket exists. 2 66 95 157 170 Localized pressure pain is complained mostly at PT resulting in adventitious bursae, skin abrasions and dermatitis. 2 62 66 157 Pressure distribution pattern varies considerably with prosthetic alignment.…”

Section: Introductionmentioning

confidence: 99%

Review: Problems with Use of Trans-Tibial Prosthesis

Chatterjee¹,

Majumder²,

Roy-Chowdhury³

et al. 2016

j med imaging hlth inform

View full text Add to dashboard Cite

Discomfort and elevated energy consumption is still a common companion of many prosthetic users, generally due to altered loading condition which the body is not adapted to, preventing them to participate actively in the society. The socket, being an interface between body and prosthesis, is believed to be the most important concern regarding comfort of prosthetic use. The main cause of problem is altered gait dynamics. Local stress concentration, friction and slippage, confinement into warm moist environment inside socket, etc. adds to discomfort. The stump, being a living part, is also subjected to variations. These produce various soft tissue problems and enhance energy expenditure. This can be somewhat countered by even distribution of load along stump. In this review article, papers regarding biomechanics and pathomechanics of prosthetic gait, the mechanical and corresponding medical problems and suggested solutions have been studied in details. 59% of Trans-Tibial amputees and 78% of Trans-Femoral amputees are found to have problems with socket fit. This results in skin irritations in 41% of TT amputees and 22% of TF amputees. The main problems are regional stress concentration, friction and rubbing of stump along socket and energy expenditure. Hydrostatic total surface bearing and variable geometry fitting socket has been hypothesized to counter this problem though they are also having their own limitations.

show abstract

ADVENTITIOUS BURSAE IN BELOW KNEE AMPUTEES Case Reports and a Review of the Literature

Cited by 23 publications

References 0 publications

Prognostic indicators of foot‐related disability in patients with rheumatoid arthritis: Results of a prospective three‐year study

Prognostic indicators of foot‐related disability in patients with rheumatoid arthritis: Results of a prospective three‐year study

Multimodality imaging review of the post-amputation stump pain

Review: Problems with Use of Trans-Tibial Prosthesis

Contact Info

Product

Resources

About