Multiple Neuromas Cause Painful "Jumping Stump" in a Transfemoral Amputee: A Case Report

Int J Low Extrem Wounds. 2016 Sep;15(3):271-3. doi: 10.1177/1534734616657964. Epub 2016 Jul 20.

Abstract

Painful "jumping stump" is an uncommon but very disturbing complication postamputation. This condition is one of the movement disorder entities resulting from peripheral nerve pathology, often known as "peripherally induced movement disorders." Previously case reports have been written about painful and nonpainful incidence of "jumping stump"; however, only the earliest "jumping stump" article in 1852 suspected that neuromas might influence the involuntary movement. In this study, we describe a 38-year-old man with bilateral transfemoral amputee who suffered from painful "jumping stump" with multiple neuromas confirmed by imaging. He was treated successfully by ultrasound-guided phenol injection into the sciatic neuroma stalks. The pathophysiology of jumping stump and its possible association with neuroma are briefly discussed.

Keywords: abnormal movement; jumping stump; neuromas; transfemoral amputation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amputation Stumps* / diagnostic imaging
  • Amputation Stumps* / pathology
  • Amputation Stumps* / physiopathology
  • Humans
  • Injections, Intralesional / methods
  • Lower Extremity / surgery
  • Magnetic Resonance Imaging / methods
  • Male
  • Neuralgia* / diagnosis
  • Neuralgia* / etiology
  • Neuralgia* / therapy
  • Neuroma* / pathology
  • Neuroma* / physiopathology
  • Neuroma* / therapy
  • Peripheral Nervous System Neoplasms* / pathology
  • Peripheral Nervous System Neoplasms* / physiopathology
  • Peripheral Nervous System Neoplasms* / therapy
  • Phenol / administration & dosage*
  • Sclerosing Solutions / administration & dosage
  • Treatment Outcome
  • Ultrasonography / methods

Substances

  • Sclerosing Solutions
  • Phenol