Article

The current study was designed to document clinical and ultrasound
(US) findings of patients with residual limb pain (RLP) after amputation and to
investigate the relationship between these findings. METHODS: A chart review was performed to identify demographic and clinical data including
the age (current and at the time of injury), time since amputation, gender,
reason for amputation, affected limb number, side and level of limb loss, and
ultrasonographic findings of young and traumatic amputees with RLP. RESULTS: The
study included a total of 147 patients. Inflammation and neuroma were the leading
pathologies in 20-29 years and 30-39 years age groups, respectively.
Inflammation/edema were detected significantly more in patients with <1 year
since amputation (P = 0.001). Neuroma was found at a significantly high rate in
patients at 1-5 years (P = 0.029) and infection/abscess was more common in
patients at >5 years since amputation (P = 0.051). The percentage of neuromas in
below-the-knee amputees was significantly higher than in non-below-the-knee
amputees (45.8% vs. 28.6%). Neuroma formation was detected in 50% of the patients
with land mine-related amputation and at 27% in patients with amputation
secondary to other traumatic reasons. Regression analysis showed
below-the-knee-level amputation to be an associated factor for US abnormality.
CONCLUSION:
The leading US findings were inflammation/edema, neuroma, and
infection/abscess in traumatic amputees with RLP.
The US findings might be
different in patients according to the time since amputation. Patient with land mine-related amputations may have different US findings.

Langue : ANGLAIS