Management of neuromas in continuity of the median nerve with the pronator quadratus muscle flap.
Treatment of painful neuromas in continuity of the median nerve at the wrist level is a challenging problem. Nine median nerve neuromas were covered with the pronator quadratus muscle preelevated as an island flap. Patients were followed for 10 to 60 months after surgery. Results showed a marked improvement in terms of symptoms in all patients. In particular, 6 patients had complete pain relief and 3 patients complained of mild intermittent pain.
Adani
R
R
Department of Orthopaedic Surgery, University of Modena and Reggio-Emilia, Policlinico Largo del Pozzo 71, 41100 Modena, Italy.
Tarallo
L
L
Battiston
B
B
Marcoccio
I
I
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D020423:Median Neuropathy / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D009460:Neurologic Examination; D009463:Neuroma / Q000175:diagnosis / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps; D014953:Wrist / Q000601:surgery*