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01.04.2015 | Clinical Article - Neurosurgical Techniques

Interdigital direct neurorrhaphy for treatment of painful neuroma due to finger amputation

verfasst von: Roberto Sergio Martins, Mario Gilberto Siqueira, Carlos Otto Heise, Lin Tchia Yeng, Daniel Ciampi de Andrade, Manoel Jacobsen Teixeira

Erschienen in: Acta Neurochirurgica | Ausgabe 4/2015

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Abstract

Background

Painful neuroma following amputation is a disabling condition for which treatments are not usually satisfactory. The aim of this study is to retrospectively evaluate the results of interdigital neurorrhaphy after neuroma resection as an option for the surgical treatment of painful digital neuroma.

Method

We retrospectively analyzed data from seven patients submitted to interdigital neurorrhaphy for treatment of digital neuroma. For evaluation of the results, the visual analog scale (VAS) for pain assessment, measurements with Simmens-Weinstein filaments and a handgrip dynamometer, and quantification of the Disabilities of the Arm, Shoulder and Hand (DASH) score were all performed. The mean improvements on the VAS and DASH scores were calculated.

Results

The mean follow-up was 28.3 months. All patients presented some degree of improvement in upper limb functionality and pain, and handling the affected finger was possible in all cases. The mean improvement on the VAS and DASH scores was 29.8 and 55.5 %, respectively. No patients presented long-term complications.

Conclusion

Although this study was based on a small number of patients, it indicates that interdigital neurorrhaphy seems to be a feasible surgical treatment for painful digital neuroma.

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Titel: Interdigital direct neurorrhaphy for treatment of painful neuroma due to finger amputation
verfasst von: Roberto Sergio Martins
Mario Gilberto Siqueira
Carlos Otto Heise
Lin Tchia Yeng
Daniel Ciampi de Andrade
Manoel Jacobsen Teixeira
Publikationsdatum: 01.04.2015
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 4/2015
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-014-2288-1

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Background

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Conclusion

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