Recurrent neuroma formation after lateral arm free flap coverage with neurorraphy to the posteroantebrachial nerve.
We report a patient with previous wrist trauma and development of a symptomatic neuroma of the palmar cutaneous branch of the median nerve. The patient had previously been successfully treated with lateral arm free flap coverage with neurorrhaphy to a segment of the posteroantebrachial cutaneous nerve carried with the flap. Two years following this procedure the patient experienced re-onset of symptoms prompting surgical exploration of the area. At the time of operation a recurrent neuroma was found at the free distal terminus of the transferred posteroantebrachial cutaneous nerve. The neuroma was repositioned into the distal radius via a burr hole with relief of symptoms.
Hand Surgery Section, Department of Orthopedics, Denver Health Medical Center, Denver, CO, USA. slpdvmmd@aol.com
Steven L
SL
Peterson
Michael J
MJ
Gordon
D000328:Adult; D001132:Arm / Q000294:innervation; D005260:Female; D006801:Humans; D008475:Median Nerve / Q000601:surgery*; D020423:Median Neuropathy / Q000601:surgery; D009416:Nerve Regeneration; D009463:Neuroma / Q000209:etiology* / Q000601:surgery; D011884:Radius / Q000601:surgery; D012086:Reoperation; D013524:Surgical Flaps; D014954:Wrist Injuries / Q000601:surgery*