title: Ultrasound-Guided Cryoablation of a Traumatic Hip Disarticulation Neuroma.
abstract: Traumatic amputation at the pelvic level is a rare procedure with few studies addressing long-term complications. Painful neuroma formation may form at the site of nerve transection and cause significant impairments in daily living. Ultrasound-guided cryoablation therapy has grown in popularity and should be considered in patients with painful neuromas. This is a case report of complete pain relief in a patient with rare traumatic hip disarticulation with neuroma formation, treated with ultrasound-guided cryoablation. The patient gave consent for publication.
  
  
  
  Single case report.
  
  
  
  Mount Sinai Medical Center.
  
  
  
  A 57-year-old man with traumatic hip disarticulation over 30 years ago with a 10-year history of severe residual limb pain from neuroma formation.
  
  
  
  Ultrasound-guided cryoablative injection therapy.
  
  
  
  Pain reduction.
  
  
  
  Ultrasound-guided cryoablation of a traumatic hip disarticulation neuroma resulting in complete pain relief and improved functionality and independence.
  
  
  
  This case illustrates a rare incidence of painful neuroma formation in a patient with traumatic hip disarticulation. Cryoablation with ultrasound guidance resulted in resolution of all pain. We report, to the best of our knowledge, the first occasion of an ultrasound-guided cryoablation resulting in complete pain relief in a traumatic hip disarticulation neuroma.
authors.affiliation: Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
authors.forename: Ryan R
authors.initials: RR
authors.lastname: Ramsook
authors.affiliation: Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
authors.forename: David
authors.initials: D
authors.lastname: Spinner
mesh_terms: D003452:Cryosurgery / Q000379:methods*; D004188:Disarticulation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009463:Neuroma / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D010146:Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D059408:Pain Management / Q000379:methods; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: amputation; cryoablation; neuroma; traumatic hip disarticulation; ultrasound