Management of painful scar-tethered cutaneous nerves of the upper limb
- PMID: 28465200
- DOI: 10.1016/j.hansur.2017.03.001
Management of painful scar-tethered cutaneous nerves of the upper limb
Abstract
We report the results of treatment by division and proximal relocation of 44 painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all patients, neuropathic pain had developed either following surgery or trauma, but without apparent direct nerve injury. The mean duration of pain symptoms prior to relocation was 17 (range 7-44) months. Adequate treatment involved relocation of 35 nerves at a first operation for each of the 22 patients, with six patients requiring further surgery to relocate 9 nerves. At a minimum follow-up of 6 months, nerve relocation resulted in complete resolution of all forms of pain at the primary site in 21/22 (95%) patients and no pain or hypersensitivity at the final relocation site in 19 of the 22 patients (86%).
Keywords: Cutaneous nerve; Douleur; Douleur nerveuse; Douleur neuropathique; Nerf cicatriciel; Nerf cutané; Nerve pain; Nerve périphérique; Nerve relocation; Neurogenic pain; Pain; Peripheral nerve; Réimplantation proximale des nerfs; Scar-tethered nerve.
Copyright © 2017 SFCM. Published by Elsevier Masson SAS. All rights reserved.
Similar articles
-
The surgical management of painful nerves of the upper limb: a unit perspective.J Hand Surg Eur Vol. 2011 Nov;36(9):760-70. doi: 10.1177/1753193411423140. J Hand Surg Eur Vol. 2011. PMID: 22058230 Review.
-
Evaluation of surgical treatment for neuropathic pain from neuroma in patients with injured peripheral nerves.J Neurosurg. 2018 Apr;128(4):1235-1240. doi: 10.3171/2017.1.JNS161778. Epub 2017 Jun 16. J Neurosurg. 2018. PMID: 28621630
-
Alleviation of neuropathic scar pain using autologous fat grafting.Ann Plast Surg. 2015 May;74 Suppl 2:S99-104. doi: 10.1097/SAP.0000000000000462. Ann Plast Surg. 2015. PMID: 25695456
-
Treatment of end-neuromas, neuromas-in-continuity and scarred nerves of the digits by proximal relocation.J Hand Surg Br. 2004 Aug;29(4):338-50. doi: 10.1016/j.jhsb.2004.01.005. J Hand Surg Br. 2004. PMID: 15234497
-
Surgical management of painful peripheral nerves.Clin Plast Surg. 2014 Jul;41(3):589-613. doi: 10.1016/j.cps.2014.03.004. Clin Plast Surg. 2014. PMID: 24996473 Review.
Cited by
-
Surgical Treatment for Trigger Thumb Using a Radial Approach.J Hand Microsurg. 2022 Jun 6;15(5):388-394. doi: 10.1055/s-0042-1749421. eCollection 2023 Dec. J Hand Microsurg. 2022. PMID: 38152679 Free PMC article.
-
Chronic pain and local pain in usually painless conditions including neuroma may be due to compressive proximal neural lesion.Front Pain Res (Lausanne). 2023 Feb 20;4:1037376. doi: 10.3389/fpain.2023.1037376. eCollection 2023. Front Pain Res (Lausanne). 2023. PMID: 36890855 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical