title: Ultrasound-guided injection of steroid in multiple postamputation neuromas.
abstract: After limb amputation, neuromas may be asymptomatic when not compressed, but can cause unexplained discomfort when a prosthesis is worn. The sonographic presentation of multiple postamputation neuromas has rarely been reported. A 40-year-old female with a left, below-elbow amputation suffered from late-onset stump pain and prosthesis intolerance. Physical examination revealed a painful nodule, whereas sonographic findings disclosed three hypoechoic masses derived from the median, ulnar, and radial nerves. Marked pain reduction was reported 2 weeks after sonography-guided steroid injection. Investigation of all damaged nerves in the residual limbs is important.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Taipei Hospital, Department of Health, Taiwan, ROC.
authors.forename: Po-Jen
authors.initials: PJ
authors.lastname: Chen
authors.forename: Huey-Wen
authors.initials: HW
authors.lastname: Liang
authors.forename: Ke-Vin
authors.initials: KV
authors.lastname: Chang
authors.forename: Tyng-Guey
authors.initials: TG
authors.lastname: Wang
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000000981:diagnostic imaging*; D005260:Female; D005543:Forearm Injuries / Q000601:surgery; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D009463:Neuroma / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D010524:Peripheral Nervous System Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D011826:Radial Nerve / Q000000981:diagnostic imaging*; D014463:Ultrasonography
chemical_list: D005938:Glucocorticoids