Ultrasound-guided injection of steroid in multiple postamputation neuromas

✍ Scribed by Po-Jen Chen; Huey-Wen Liang; Ke-Vin Chang; Tyng-Guey Wang

• Book ID: 102887987
• Publisher: John Wiley and Sons
• Year: 2012
• Tongue: English
• Weight: 790 KB
• Volume: 41
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.21885

✦ Synopsis

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. © 2012 Wiley Periodicals, Inc. J Clin Ultrasound, 2013