Document Detail


Skin problems in an amputee clinic.
MedLine Citation:
PMID:  16628149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To document the type and frequency of individual residual limb skin problems among patients using a lower extremity prosthesis, including the suggested etiology and management of each type of skin problem. DESIGN: This is a 6-yr retrospective chart review of skin lesions diagnosed in patients examined in an outpatient amputee clinic at a regional, referral rehabilitation hospital in Ottawa, Canada. Skin lesions were included if they were on a lower extremity residual limb for a patient who functionally used a prosthesis. Descriptive statistics were used to analyze data. RESULTS: A total of 528 skin problems were documented in 337 lower extremity residual limbs. Ulcers, irritations, inclusion cysts, calluses, and verrucous hyperplasia were the five most common skin problems representing 79.5% of all documented skin disorders. CONCLUSIONS: This study demonstrated that a wide variety of dermatologic conditions occurred frequently in the lower extremity amputee who functionally used a prosthesis. Five types of skin problems accounted for nearly 80% of the skin lesions identified. Future studies are required to evaluate prevention and management of the most frequent skin problems.
Authors:
Nancy L Dudek; Meridith B Marks; Shawn C Marshall
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  85     ISSN:  0894-9115     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-04-21     Completed Date:  2006-05-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  424-9     Citation Subset:  AIM; IM    
Affiliation:
Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Ottawa, Ottawa, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amputees / rehabilitation*,  statistics & numerical data*
Artificial Limbs / adverse effects*,  statistics & numerical data
Callosities / epidemiology
Causality
Cysts / epidemiology
Erythema / epidemiology
Female
Humans
Hyperplasia / epidemiology
Male
Middle Aged
Ontario / epidemiology
Prosthesis Fitting
Rehabilitation Centers / statistics & numerical data*
Retrospective Studies
Skin Diseases / epidemiology*,  pathology,  therapy
Skin Ulcer / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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