Management of painful scar-tethered cutaneous nerves of the upper limb.

Abstract:

:We report the results of treatment by division and proximal relocation of 44 painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all patients, neuropathic pain had developed either following surgery or trauma, but without apparent direct nerve injury. The mean duration of pain symptoms prior to relocation was 17 (range 7-44) months. Adequate treatment involved relocation of 35 nerves at a first operation for each of the 22 patients, with six patients requiring further surgery to relocate 9 nerves. At a minimum follow-up of 6 months, nerve relocation resulted in complete resolution of all forms of pain at the primary site in 21/22 (95%) patients and no pain or hypersensitivity at the final relocation site in 19 of the 22 patients (86%).

journal_name

Hand Surg Rehabil

authors

Laing TA,Sierakowski A,Elliot D

doi

10.1016/j.hansur.2017.03.001

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

208-214

issue

3

eissn

2468-1229

issn

2468-1210

pii

S2468-1229(17)30042-7

journal_volume

36

pub_type

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