Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve.

Abstract:

:The branches of the medial antebrachial cutaneous nerve (MACN) are located at the medial site of the elbow. The MACN, especially the posterior branches, may be injured or transected during cubital tunnel surgery or other medial approaches to the elbow. Damage to the nerve can cause a neuroma, which leads to disabling pain and restriction of elbow movement. The initial treatment of the neuroma is nonsurgical, and includes local massage, desensitization, physiotherapy, and systemic medication. If after 6 months of these nonsurgical treatments there is no improvement, surgery is indicated. The authors report their experience with 12 patients treated surgically for painful neuroma by high resection of the proximal end or its implantation into the triceps muscle. After surgery there was a high success rate of pain relief and functional improvement in both elbow movement and handgrip strength.

journal_name

Ann Plast Surg

authors

Stahl S,Rosenberg N

doi

10.1097/00000637-200202000-00007

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

154-8; discussion 158-60

issue

2

eissn

0148-7043

issn

1536-3708

journal_volume

48

pub_type

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