[Pain in the left hand especially pronounced in the ring finger and small finger].
A case is described of a female patient, who presented with permanent stabbing and burning pain in the ring finger and small finger of the left hand. Because of this pain neurolysis of the sulcus ulnaris had been carried out 4 months previously, which did not result in an improvement but led to a spreading of the symptoms to the whole hand. Diagnostic three-phase skeletal scintigraphy and neurography were performed. In 1999 breast cancer was diagnosed and surgically treated. Oncological follow-up 2 months before presentation revealed no conspicuous findings.Readers are encouraged to make their own diagnosis on the basis of the clinical findings and to discuss the case online (http://blogs.springer.com/DerSchmerz).
Scherens
A
A
Abteilung Schmerztherapie, BG-Universitätsklinikum Bergmannsheil GmbH, Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Deutschland. andrea.scherens@rub.de
Höffken
O
O
Tegenthoff
M
M
Maier
C
C
D018771:Arthralgia / Q000000981:diagnostic imaging / Q000209:etiology*; D001943:Breast Neoplasms / Q000628:therapy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D005385:Fingers / Q000000981:diagnostic imaging / Q000294:innervation; D006225:Hand / Q000000981:diagnostic imaging / Q000294:innervation; D006801:Humans; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D011877:Radionuclide Imaging; D014459:Ulnar Nerve / Q000601:surgery