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Bone Overgrowth in the Adult Traumatic Amputee

Dudek, Nancy L. MD; DeHaan, Melanie N. MD; Marks, Meridith B. MD, MEd

American Journal of Physical Medicine & Rehabilitation: November 2003 - Volume 82 - Issue 11 - p 897-900
doi: 10.1097/01.PHM.0000087459.94599.2D
Case Report: Amputee

Dudek NL, DeHaan MN, Marks MB: Bone overgrowth in the adult traumatic amputee. Am J Phys Med Rehabil 2003;82:897–900.

Bone overgrowth of the residual limb after an amputation is a well documented complication in the pediatric amputee population. Bone overgrowth can cause pain, problems with skin breakdown, and poor prosthetic fit. There have been few reports of bone overgrowth in the adult amputee. Two cases of traumatic transfemoral amputations after extensive tissue damage are presented. Both patients successfully completed an in-patient amputee rehabilitation program and achieved functional ambulation with their prostheses. However, each developed distal residual limb pain within a year after their amputations that significantly limited the amount of time they could wear their prostheses and the distance they could walk. Radiographs demonstrated additional bone growth from the residual femur into adjacent soft tissues in both patients. These case examples demonstrate that bone overgrowth should be considered in the differential diagnosis of residual limb pain in the adult amputee.

From the Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Ottawa, Ottawa, Canada (NLD, MBM); and the Division of Physiatry, Department of Medicine, University of Toronto, Toronto, Canada (MND).

Presented, in part, at the Quebec-Ontario Association for Amputee Care Joint Conference, Ottawa, Ontario, Canada, May 10, 2002, and at the Canadian Association of Physical Medicine and Rehabilitation Annual Scientific Meeting, Winnipeg, Manitoba, Canada, June 12–16, 2002.

All correspondence and requests for reprints should be addressed to Nancy L. Dudek, MD, 505 Smyth Road, Ottawa, Ontario, Canada K1H 8M2.

© 2003 Lippincott Williams & Wilkins, Inc.