title: Multiple Neuromas Cause Painful "Jumping Stump" in a Transfemoral Amputee: A Case Report.
abstract: Painful "jumping stump" is an uncommon but very disturbing complication postamputation. This condition is one of the movement disorder entities resulting from peripheral nerve pathology, often known as "peripherally induced movement disorders." Previously case reports have been written about painful and nonpainful incidence of "jumping stump"; however, only the earliest "jumping stump" article in 1852 suspected that neuromas might influence the involuntary movement. In this study, we describe a 38-year-old man with bilateral transfemoral amputee who suffered from painful "jumping stump" with multiple neuromas confirmed by imaging. He was treated successfully by ultrasound-guided phenol injection into the sciatic neuroma stalks. The pathophysiology of jumping stump and its possible association with neuroma are briefly discussed.
authors.affiliation: Chiang Mai University, Chiang Mai, Thailand montana.b@cmu.ac.th.
authors.forename: Montana
authors.initials: M
authors.lastname: Buntragulpoontawee
authors.affiliation: Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Nuttaya
authors.initials: N
authors.lastname: Pattamapaspong
authors.affiliation: Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Siam
authors.initials: S
authors.lastname: Tongprasert
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D015552:Injections, Intralesional / Q000379:methods; D035002:Lower Extremity / Q000601:surgery; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009437:Neuralgia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D009463:Neuroma / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D010524:Peripheral Nervous System Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D019800:Phenol / Q000008:administration & dosage*; D012597:Sclerosing Solutions / Q000008:administration & dosage; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods
chemical_list: D012597:Sclerosing Solutions; D019800:Phenol
keywords: abnormal movement; jumping stump; neuromas; transfemoral amputation