1/12. Pacinian corpuscle neuroma of digital nerves.Symptoms and incapacitation due to abnormal aggregations of pacinian corpuscles are uncommon. Indeed, only three reports have been found in the scientific literature. A case is presented in which the patient's chief complaint was pain and localized tenderness in the hand which interfered with normal activity. Surgical exploration of the palm showed abnormalities of pacinian corpuscles attached to the median digital nerve in the form of a grape-like cluster and a single enlarged corpuscle beneath the epineurium; the abnormality attached to the ulnar digital nerve appeared as an offshoot of hyperplastic corpuscles lying in tandem. The abnormal corpuscles were excised. The symptoms have not recurred to date. These abnormalities in size, position, and number of pacinian corpuscles are compared to the findings of the few other reports in the literature. The neuroma formation found attached to this ulnar nerve has not been cited previously.- - - - - - - - - - ranking = 1keywords = median (Clic here for more details about this article) |
2/12. Recurrent neuroma formation after lateral arm free flap coverage with neurorraphy to the posteroantebrachial nerve.We report a patient with previous wrist trauma and development of a symptomatic neuroma of the palmar cutaneous branch of the median nerve. The patient had previously been successfully treated with lateral arm free flap coverage with neurorrhaphy to a segment of the posteroantebrachial cutaneous nerve carried with the flap. Two years following this procedure the patient experienced re-onset of symptoms prompting surgical exploration of the area. At the time of operation a recurrent neuroma was found at the free distal terminus of the transferred posteroantebrachial cutaneous nerve. The neuroma was repositioned into the distal radius via a burr hole with relief of symptoms.- - - - - - - - - - ranking = 160.27374828532keywords = median nerve, median (Clic here for more details about this article) |
3/12. Flexor tendon rupture 55 years following a wrist laceration.Flexor tendon rupture at the wrist or palm is rare. We present a case of index flexor digitorum profundus rupture at the level of the wrist associated with the site of a laceration 55 years earlier. Associated pathology included a large neuroma-in-continuity of the median nerve and adhesions involving the flexor digitorum superficialis tendons. The rupture was treated by tenodesis to the relatively unaffected flexor digitorum profundus to the adjacent long finger.- - - - - - - - - - ranking = 160.27374828532keywords = median nerve, median (Clic here for more details about this article) |
4/12. Hourglass-like constriction of the axillary nerve: report of two patients.Among the various etiologies of compressive lesions, the development of an hourglass-like constriction of the nerve that is unrelated to any recognizably compressive structure is a very rare phenomenon. This problem has been reported previously for the radial nerve and its branch posterior interosseous nerve and for the anterior interosseous nerve, a branch of median nerve. Here we report 2 cases of hourglass-like constriction of the axillary nerve that were observed during surgery; the constrictive segment was unrelated to any compressive structure.- - - - - - - - - - ranking = 160.27374828532keywords = median nerve, median (Clic here for more details about this article) |
5/12. Treatment of neuromas about a major amputation stump.In five patients, with intractable pain from neuromas that developed after amputations at the wrist or forearm, the neuromas were resected and the median nerve anastamosed to the ulnar nerve under the pronator teres muscle. In one patient, the anterior interosseous nerve was also anastamosed to the superficial radial nerve under the muscles of the forearm. patients reported an 80% to 90% reduction in pain. This procedure is limited to patients in which all other treatments have failed.- - - - - - - - - - ranking = 160.27374828532keywords = median nerve, median (Clic here for more details about this article) |
6/12. Posttraumatic neuroma of the median nerve: a cause of carpal tunnel syndrome.A case of carpal tunnel syndrome caused by a posttraumatic neuroma-in-continuity of the median nerve is reported. Such a cause of median nerve compression is rare.- - - - - - - - - - ranking = 961.64248971193keywords = median nerve, median (Clic here for more details about this article) |
7/12. Complications of carpal tunnel surgery.During a 12-year period, the authors treated 25 patients with 26 complications of previous carpal tunnel surgery. Twenty-four of these patients were referred following initial surgery elsewhere. The most frequent complication identified was neuroma of the palmar cutaneous branch of the median nerve in 14 of the cases. Other complications were hypertrophic scars, dysesthesias after multiple procedures to release the carpal tunnel, joint stiffness, failure to relieve symptoms, and neuromas of the dorsal sensory branch of the radial nerve. All of these complications are potentially preventable. With a properly placed incision, exposure carried out under magnification, and surgery under direct vision the majority of these complications may be prevented. It is further noted that the technique of transverse incision at the wrist for release of the carpal tunnel is potentially dangerous and should be abandoned.- - - - - - - - - - ranking = 160.27374828532keywords = median nerve, median (Clic here for more details about this article) |
8/12. Paramedian neuroma presenting as a ganglion.Peripheral nerve tumors are rare, usually encapsulated and intraneural in location. A 33-year-old woman with a nonencapsulated paraneural neoplasm of the median nerve obtained pain relief without recurrence from surgical excision of the tumor. This represents an exceedingly rare disorder of peripheral nerves.- - - - - - - - - - ranking = 164.27374828532keywords = median nerve, median (Clic here for more details about this article) |
9/12. Posttraumatic median neuroma: a cause of carpal tunnel syndrome.carpal tunnel syndrome associated with laceration of the median nerve in the distal forearm sometimes occurs. The presenting symptoms related to the initial trauma and the obvious sequelae of the nerve injury itself may focus attention on the neuroma, but the neurological disability may be due in great part to carpal tunnel compression of the nerve distal to the neuroma. Operative decompression usually results in prompt recovery. The possibility of post-traumatic carpal tunnel syndrome must be considered by those evaluating and caring for the primary nerve injury.- - - - - - - - - - ranking = 164.27374828532keywords = median nerve, median (Clic here for more details about this article) |
10/12. Painful neuromas in long below-elbow amputees.During a five-year period, seven patients were seen who failed to wear their protheses because of neuromas in their amputation stumps. Proximal ligation of the median, radial, and ulnar nerves allowed prosthetic wear and use in every instance. The advantage of this technique used at the time of the original amputation or at an early elective time will aid in the rapid rehabilitation of the patient.- - - - - - - - - - ranking = 1keywords = median (Clic here for more details about this article) |
| | Next -> |