Friday, April 24, 2009

Skin and bone problems associated with amputation

1. What are common skin problems associated with amputation?
*2. What is choked stump syndrome?
*3. What is verrucous hyperplasia?
4. What are common bone-related causes of pain?

Answers:
1. Folliculitis, boils, abscesses, epidermoid cysts, tinea corporis, tinea cruris, hyperhydrosis, allergic dermatitis.
2. Brawny edema, induration, discoloration of stump, resulting from proximal constriction of the stump and distal edema.
3. Wartlike skin overgrowth, usually from inadequate socket wall contact. Can be a sequela of choked stump syndrome.
4. Bone spurs due to incorrect stripping of periosteum, hypermobile fibula left longer than tibia, bone overgrowth in children where skin growth does not keep up with bone.

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