Citation

Chen KH, Lee KF, Hsu HC, Huang WC, Hsiao KY, Fang KM. Am. J. Phys. Med. Rehabil. 2009; 88(9): 771-774.

Copyright

(Copyright © 2009, Lippincott Williams and Wilkins)

DOI

10.1097/PHM.0b013e3181b332ef

PMID

19692793

Abstract

Since the development of high-resolution ultrasound, its role in the diagnosis of peripheral nerve lesions has steadily increased. We present the case of a 42-yr-old woman who experienced consistent numbness over the left hand and fingers after cutting the wrist in a suicide attempt and subsequent tendon and median nerve repair and a period of rehabilitation. Electrodiagnostic testing was normal, but high-resolution ultrasound demonstrated hypoechoic, focal swelling in the region of the median nerve consistent with a neuroma. Neuroma was confirmed at surgery, and after excision of the neuroma, nerve repair with a nerve graft was performed. Postoperatively, the patient's symptoms improved significantly. This case suggests that high-resolution ultrasound may be superior to electrodiagnostic studies for the diagnosis of traumatic neuroma.

Language: en

Keywords

Female; Humans; Hypesthesia; Median Nerve; Median Neuropathy; Middle Aged; Neoplasms, Post-Traumatic; Neuroma; Neurosurgical Procedures; Recovery of Function; Ultrasonography