Re: transtibial bursa

Re: transtibial bursa

Justin Foster

8/18/2005

Todd and List,

This came at an opportune time, as I just saw someone yesterday with a
similar condition... He is toward the extreme activity level, (probably the
most active or second most active person I work with) and has what appears
to be a bursa over the ant. dist. tib... He wears a 9mm locking Alpha and
the socket is certainly a PTB variant, not by any means a TSB design. I
wonder if the common denominator here is the PTB design, with a relative
void in the ant. dist. tib!?! I am planning to have him try a contoured
liner with the extra gel hopefully keeping the distal tib safe. It just
seems odd that a bursa would form under the 9mm alpha's insane cushioning
ability, and in the cases below, under Ossur's quite thick Comfort Plus
system... Maybe the distal tib relief needs to be filled?!? Any thoughts???

Thanks in advance,

Justin Foster
Prosthetist/Orthotist

>-----Original Message-----
>From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
>Behalf Of Tod Norton
>Sent: Tuesday, August 16, 2005 2:53 PM
>To: <Email Address Redacted>
>Subject: [OANDP-L] transtibial bursa
>
>Over the last six months I have seen three patients who have developed what
>has been diagnosed as a bursa on their anterior distal tibia. None of the
>patients complained of any pain or discomfort while developing the the
>bursa. All three patients are relatively new moderately active patients.
>Two are wearing PTB sockets with Iceross comfort plus liners, the third is
>wearing a PTB suction socket with an Alps cushion liner. It is
>particularly
>odd to me that I haven't seen this ever in ten years and suddenly I have
>seen it three times. Thanks for ideas or suggestions.
>Todd Norton, CP, LP