Skip Navigation LinksHome > September 2009 - Volume 88 - Issue 9 > The Role of High-Resolution Ultrasound in the Diagnosis of a...
American Journal of Physical Medicine & Rehabilitation:
doi: 10.1097/PHM.0b013e3181b332ef
Case Report: Ultrasound

The Role of High-Resolution Ultrasound in the Diagnosis of a Traumatic Neuroma in an Injured Median Nerve

Chen, Kai-Hua MD; Lee, Kam-Fai MD; Hsu, Hung-Chih MD; Huang, Wei-Chao MD; Hsiao, Kuang-Yu MD; Fang, Kuan-Ming MD

Collapse Box

Abstract

Chen K-H, Lee K-F, Hsu H-C, Huang W-C, Hsiao K-Y, Fang K-M: The Role of High-Resolution Ultrasound in the Diagnosis of a Traumatic Neuroma in an Injured Median Nerve.

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.

© 2009 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.