Ultrasound-guided injection of steroid in multiple postamputation neuromas

J Clin Ultrasound. 2013 Feb;41(2):122-4. doi: 10.1002/jcu.21885. Epub 2012 Jan 31.

Abstract

After limb amputation, neuromas may be asymptomatic when not compressed, but can cause unexplained discomfort when a prosthesis is worn. The sonographic presentation of multiple postamputation neuromas has rarely been reported. A 40-year-old female with a left, below-elbow amputation suffered from late-onset stump pain and prosthesis intolerance. Physical examination revealed a painful nodule, whereas sonographic findings disclosed three hypoechoic masses derived from the median, ulnar, and radial nerves. Marked pain reduction was reported 2 weeks after sonography-guided steroid injection. Investigation of all damaged nerves in the residual limbs is important.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amputation Stumps / diagnostic imaging*
  • Female
  • Forearm Injuries / surgery
  • Glucocorticoids / administration & dosage*
  • Humans
  • Injections
  • Neuroma / diagnostic imaging*
  • Neuroma / drug therapy*
  • Peripheral Nervous System Neoplasms / diagnostic imaging*
  • Peripheral Nervous System Neoplasms / drug therapy*
  • Radial Nerve / diagnostic imaging*
  • Ultrasonography

Substances

  • Glucocorticoids