I recently received a call from a therapist that asked me if a =
prosthesis could be the cause of a bursa in the hip of a pediatric PFFD =
patient. The patient is a 12 yr old class 3 PFFD and I have been making =
his prostheses for a few years now. He has been in his current =
prosthesis for about 8 months. Now that it has warmed up some he =
decided to do his paper rout on his scooter. He also reports that this =
time he pushed the scooter with the prosthesis instead of the sound leg. =
The next day there was a very palpable lump in the area where the =
greater trochanter would be. His Dr. diagnosed it as a bursa and not to =
wear the prosthesis until the swelling went down. After a week he went =
back to wearing the prosthesis and in two days it was back again. =20
My first suspicion was that the bursa was in the knee joint and not the =
hip due to the location and the fact that there is most likely no hip =
joint to speak of (being a class 3). Has anyone come across anything =
similar? Does anybody have any thoughts on the case?
Kevin Warner CP
Lloyd-Silber Orthopedics
Lancaster, PA USA
