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Chronic expanding hematoma in the stumps of persons following transfemoral amputation

TAKAKURA T; MIKAMI T; NISHIOKA Y; NEMOTO K; MIZUOCHI K
PROSTHET ORTHOT INT , 2014, vol. 38, n° 3, p. 243-247
Doc n°: 169964
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364613494994
Descripteurs : AD8 - DOULEUR, EB312 - MEMBRE RESIDUEL - AMPUTATION TRANSFEMORALE

Two persons presented with severe stump pain following transfemoral
amputation. METHODS: A 21-year-old female and a 31-year-old
male with transfemoral amputation were ambulatory with prostheses and suffered
from severe stump pain caused by the presence of masses around the tip of the
bone stump. From the clinical courses, imaging studies, and the intraoperative
findings, the masses were diagnosed as a relatively rare condition known as
chronic expanding hematoma. FINDINGS AND OUTCOME: The two patients were treated
successfully with surgical resection. The hematomas were soft cystic masses with
a thick capsule containing old blood clots and serous fluid. There were no
pathological signs of malignancy. After surgical treatment, the patients achieved
walking without stump pain. CONCLUSION: Although chronic expanding hematoma is a
rare condition, it should be considered as a possible cause of stump pain.
CLINICAL RELEVANCE: Stump pain is caused by many conditions. Although chronic
expanding hematoma is a rare condition, it should be considered as a possible
cause of stump pain.
CI - (c) The International Society for Prosthetics and Orthotics 2013.

Langue : ANGLAIS

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