In-continuity neuroma of the median nerve after surgical release for carpal tunnel syndrome: case report

Journal of Ultrasound
R DepaoliFrancesco Alessandrino

Abstract

Iatrogenic injuries of the median nerve after surgical release for carpal tunnel syndrome resulting in the formation of a neuroma are rare. We present here the case of two patients, one with a bifid median nerve, showing in-continuity neuroma after surgical release for carpal tunnel syndrome. The patients reported persistent post-operative pain and showing symptoms. In both cases, ultrasound showed an in-continuity neuroma with a hypoechoic and enlarged median nerve at the carpal tunnel. The case report shows that ultrasound may be helpful in confirming the clinical diagnosis of neuroma and it is useful for evaluation of the percentage of the area affected by the tear.

References

Feb 28, 2002·European Radiology·Carlo MartinoliMaura Valle
Aug 27, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hong-Jen ChiouCheng-Yen Chang
Aug 21, 2009·American Journal of Physical Medicine & Rehabilitation·Kai-Hua ChenKuan-Ming Fang
Mar 3, 2010·The Journal of Hand Surgery·Jonathan WatsonJames Kerns
Apr 12, 2011·Journal of Orthopaedic Surgery and Research·Qiyun Shi, Joy C MacDermid
Oct 3, 2012·The Orthopedic Clinics of North America·Valentin NeuhausChaitanya S Mudgal
Mar 1, 2011·Journal of Ultrasound·A PresazziF Draghi

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