Literature DB >> 27298917

Post-traumatic Median Nerve Neuroma in Wrist. A Case Report and brief review of Literature.

Ahmet Aslan1, Mehmet Nuri Konya1, Serdar Sargin1.   

Abstract

INTRODUCTION: Distal median nerve masses may be developed post-traumatic or non-traumatic. In this paper, we aim to present a 52 year old female case with a postraumatic neuroma of the median nerve in the left wrist. CASE SERIES: A 52-year-old female patient had accidental incised wound over her left wrist which was primarily sutured. She presented 6 months later with unrelieved pain and growing swelling at the wrist. USG showed solid mass of size 2x3 cms. Intraoperatively the mass was seen to arise from medial nerve and careful excision was done protecting the nerve. At one year follow up the patient is relived of her symptoms with no sensorimotor deficit.
CONCLUSION: Post traumatic neuroma present as unrelieved pain and progressive swelling. A high index of suspicion should be kept in cases of wound that are primarily sutured over an area with superficial nerves. Careful excision of the lesion is very effective in relieving patients symptoms.

Entities:  

Keywords:  Neuroma; median nerve; nerve injury; wrist

Year:  2013        PMID: 27298917      PMCID: PMC4719255          DOI: 10.13107/jocr.2250-0685.114

Source DB:  PubMed          Journal:  J Orthop Case Rep        ISSN: 2250-0685


  14 in total

Review 1.  Traumatic injury to peripheral nerves.

Authors:  L R Robinson
Journal:  Muscle Nerve       Date:  2000-06       Impact factor: 3.217

Review 2.  Nerve repair, grafting, and nerve transfers.

Authors:  Linda Dvali; Susan Mackinnon
Journal:  Clin Plast Surg       Date:  2003-04       Impact factor: 2.017

Review 3.  Indeterminate soft-tissue tumors of the hand and wrist: a review based on a clinical series of 39 cases.

Authors:  Paul A Sookur; Asif Saifuddin
Journal:  Skeletal Radiol       Date:  2010-07-31       Impact factor: 2.199

4.  A Classification of Nerve Injuries.

Authors:  H J Seddon
Journal:  Br Med J       Date:  1942-08-29

5.  Ossified median nerve schwannoma: a case report.

Authors:  Kazuo Ikeda; Naoki Osamura; Satomi Kasashima
Journal:  Hand Surg       Date:  2012

Review 6.  Tumorlike lesions and benign tumors of the hand and wrist.

Authors:  Ann-Marie Plate; Steven J Lee; German Steiner; Martin A Posner
Journal:  J Am Acad Orthop Surg       Date:  2003 Mar-Apr       Impact factor: 3.020

7.  An unusual case of neuroma of the median nerve.

Authors:  R Kanagasuntheram; W C Wong
Journal:  J Neurol Neurosurg Psychiatry       Date:  1969-10       Impact factor: 10.154

8.  The role of high-resolution ultrasound in the diagnosis of a traumatic neuroma in an injured median nerve.

Authors:  Kai-Hua Chen; Kam-Fai Lee; Hung-Chih Hsu; Wei-Chao Huang; Kuang-Yu Hsiao; Kuan-Ming Fang
Journal:  Am J Phys Med Rehabil       Date:  2009-09       Impact factor: 2.159

9.  Unilateral carpal tunnel syndrome caused by an occult palmar lipoma.

Authors:  A Erdem Bagatur; Merter Yalcinkaya
Journal:  Orthopedics       Date:  2009-10       Impact factor: 1.390

10.  Schwannoma of the median nerve.

Authors:  Julien Hubert; Geneviève Landes; Michèle Tardif
Journal:  J Plast Surg Hand Surg       Date:  2012-11-29
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  2 in total

1.  Ultra-high-frequency Ultrasound to Assess Nerve Fascicles in Median Nerve Traumatic Neuroma.

Authors:  Antonio J Forte; Daniel Boczar; Jeremie D Oliver; Andrea Sisti; Steven R Clendenen
Journal:  Cureus       Date:  2019-06-10

2.  Giant Median Nerve Due to Hamartoma Causing Severe Carpal Tunnel Syndrome.

Authors:  Dimitrios Kitridis; Panagiotis Dionellis; Konstantinos Xarchas; Panagiotis Givissis
Journal:  J Orthop Case Rep       Date:  2018 Jul-Aug
  2 in total

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