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Ultrasound‐guided injection of steroid in multiple postamputation neuromas
Author(s) -
Chen PoJen,
Liang HueyWen,
Chang KeVin,
Wang TyngGuey
Publication year - 2013
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.21885
Subject(s) - medicine , asymptomatic , amputation , ultrasound , neuroma , surgery , prosthesis , elbow , percutaneous , radiology , presentation (obstetrics)
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