Painful neuromata following upper limb amputation.
Painful neuromata occurring after upper limb amputation are a significant cause of stump pain and limit the success of prosthetic training and use. There is little information in the literature regarding incidence, consequences or outcomes of painful neuromata subsequent to upper limb amputation. This article reports an analysis of thirty-two consecutive upper limb amputees. Of these 25% had moderate-to-severe stump pain and clinical signs suggestive of neuromata. All patients with neuromata were limited in their ability to use a prosthesis prior to surgery and following failure of conservative measures, were referred for surgical opinion. Six patients have undergone surgical management. The results of surgery, with respect to pain and prosthetic usage, are discussed.
Geraghty
T J
TJ
Spinal Unit, Royal North Shore Hospital, Sydney, Australia.
Jones
L E
LE
D000293:Adolescent; D000328:Adult; D000368:Aged; D000671:Amputation, Surgical / Q000009:adverse effects; D000672:Amputation Stumps / Q000503:physiopathology*; D001132:Arm; D001186:Artificial Limbs / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009463:Neuroma / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D010146:Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D010147:Pain Measurement; D017755:Prosthesis Fitting