PFFD Bursa

PFFD Bursa

Kevin Warner

4/7/2003

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.
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