Sciatic neuroma presenting forty years after above-knee amputation

We report a case of a sciatic neuroma presenting forty years after above knee amputation. Patients developing neuroma following a limb amputation can present with stump pain which is commonly resistant to medical intervention. The length of interval from the initial injury to presentation is widely...

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Bibliographic Details
Published inThe open orthopaedics journal Vol. 3; no. 1; pp. 125 - 127
Main Authors Kitcat, M, Hunter, J E, Malata, C M
Format Journal Article
LanguageEnglish
Published United Arab Emirates Bentham Open 30.12.2009
Subjects
amputation
stump pain
Neuroma
above-knee amputation
posttraumatic amputation neuroma
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Summary:We report a case of a sciatic neuroma presenting forty years after above knee amputation. Patients developing neuroma following a limb amputation can present with stump pain which is commonly resistant to medical intervention. The length of interval from the initial injury to presentation is widely variable. Diagnosis relies on clinical suspicion and accurate assessment, radiological imaging and, if indicated, surgical exploration. MRI provides a better soft tissue definition than CT and is more accurate in identifying small lesions than ultrasound. The aim of treatment for symptomatic neuroma is pain relief and improvement of function. This is often achieved by surgical excision.
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ISSN:1874-3250
1874-3250
DOI:10.2174/1874325000903010125