TY - JOUR PY - 2009// TI - The role of high-resolution ultrasound in the diagnosis of a traumatic neuroma in an injured median nerve JO - American journal of physical medicine and rehabilitation A1 - Chen, Kai-Hua A1 - Lee, Kam-Fai A1 - Hsu, Hung-Chih A1 - Huang, Wei-Chao A1 - Hsiao, Kuang-Yu A1 - Fang, Kuan-Ming SP - 771 EP - 774 VL - 88 IS - 9 N2 - 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
LA - en SN - 0894-9115 UR - http://dx.doi.org/10.1097/PHM.0b013e3181b332ef ID - ref1 ER -