Lanzetta M, Nolli R
Hand Surgery and Reconstructive Microsurgery Unit, Department of Orthopaedics, University of Milan-Bicocca, Milan, Italy.
J Hand Surg Br. 2000 Apr;25(2):151-3. doi: 10.1054/jhsb.1999.0355.
We present a new method for the treatment of painful neuromas of the palmar cutaneous branch of the median nerve. A preliminary cadaver study was done to investigate the extraneural and intraneural course of the palmar cutaneous branch of the median nerve with respect to the main trunk of the median nerve. Seven patients presented with a painful neuroma following previous surgery on the palmar aspect of the wrist. The neuroma was dissected and excised by stripping the whole of the palmar cutaneous branch from the main trunk of the median nerve. In all cases complete relief from pain and discomfort was achieved. The resulting area of numbness in the palm did not represent a significant problem.
我们提出了一种治疗正中神经掌皮支疼痛性神经瘤的新方法。进行了一项初步尸体研究，以调查正中神经掌皮支相对于正中神经主干的神经外和神经内走行。7例患者在先前腕掌侧手术后出现疼痛性神经瘤。通过将整个掌皮支从正中神经主干上剥离，对神经瘤进行解剖并切除。所有病例均实现了疼痛和不适的完全缓解。手掌出现的麻木区域并未构成重大问题。
