High-resolution ultrasound findings in the symptomatic residual limbs of amputees
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2013-12-01Author
O'Reilly, Marian A.R.
O'Reilly, Peter M.R.
O'Reilly, Helena M.R.
Sullivan, John
Sheahan, Jerome
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O'Reilly, Marian A.R. O'Reilly, Peter M.R.; O'Reilly, Helena M.R.; Sullivan, John; Sheahan, Jerome (2013). High-resolution ultrasound findings in the symptomatic residual limbs of amputees. Military Medicine 178 (12), 1291-1297
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Abstract
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.