Buntragulpoontawee Montana, Pattamapaspong Nuttaya, Tongprasert Siam
Chiang Mai University, Chiang Mai, Thailand
Chiang Mai University, Chiang Mai, Thailand.
Int J Low Extrem Wounds. 2016 Sep;15(3):271-3. doi: 10.1177/1534734616657964. Epub 2016 Jul 20.
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.
疼痛性“跳残端”是截肢术后一种罕见但极为困扰人的并发症。这种情况是由周围神经病变导致的运动障碍性疾病之一，通常被称为“外周性诱发运动障碍”。此前已有关于“跳残端”疼痛和非疼痛发生率的病例报告；然而，仅有1852年最早的一篇“跳残端”文章怀疑神经瘤可能影响不自主运动。在本研究中，我们描述了一名38岁的双侧大腿截肢患者，其患有疼痛性“跳残端”，影像学检查证实存在多个神经瘤。通过超声引导下将苯酚注射到坐骨神经瘤蒂部，他得到了成功治疗。本文简要讨论了跳残端的病理生理学及其与神经瘤的可能关联。
