Relocation of painful neuromas in Zone III of the hand and forearm

被引：22

作者：

Atherton, Duncan D. ^{[1
]}

Fabre, Jan ^{[1
]}

Anand, Praveen ^{[1
]}

Elliot, David ^{[1
]}

机构：

[1] Broomfield Hosp, St Andrews Ctr Plast Surg, Dept Hand Surg, Chelmsford CM1 7ET, Essex, England

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2008年 / 33E卷 / 02期

关键词：

neuroma; scar-tethered nerve; neuroma-in-continuity; neuropathic pain; relocation;

D O I：

10.1177/1753193408087107

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Painful nerves are a difficult and complex clinical problem. We describe the result of treatment by proximal relocation of 51 painful end neuromas and scarred nerves of the forearm in 33 patients. The relocated nerves included 29 superficial radial nerves, 16 lateral antebrachial cutaneous nerves, two medial cutaneous nerves and four posterior cutaneous nerves. These relocations achieved no, or only mild, pain in 100% of nerves at the original site and 94% of nerves at the relocation site. It also achieved no, or only mild, hypersensitivity in 96% of nerves at the original site and 98% of nerves at the relocation site. The technical difficulties encountered in this region, in particular on the radial aspect of the wrist, are discussed.

引用

页码：155 / 162

页数：8