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复发性症状性截肢神经瘤的延迟表现

Late Presentation of Recurrent Symptomatic Amputation Neuroma.

作者信息

Jirangkul Puripun, Kosiyatrakul Arkaphat, Gajaseni Pawin

机构信息

Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.

出版信息

J Orthop Case Rep. 2020 Sep;10(6):28-31. doi: 10.13107/jocr.2020.v10.i06.1862.

DOI:10.13107/jocr.2020.v10.i06.1862
PMID:33489964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7815666/
Abstract

INTRODUCTION

Post-traumatic amputation neuroma is one of the common complications that involve optimal functional outcomes. The current literature has a few examples of late presentation of traumatic stump neuroma. However, no available examples of late presentation of recurrent symptomatic amputation neuroma causing impaired functional outcomes have been reported.

CASE REPORT

We present a case of recurrent symptomatic stump neuroma after above-knee amputation and neurectomy for 28 years.

CONCLUSION

Late presentation of recurrent stump neuroma is an unusual condition, requiring early detection and treatment to gain better functionality. The patient scenario is unique and valuable for future management, including case awareness regarding this unique pathology.

摘要

引言

创伤后截肢神经瘤是常见并发症之一,会影响最佳功能预后。目前文献中仅有少数创伤性残端神经瘤延迟出现的病例。然而,尚未有复发性症状性截肢神经瘤延迟出现导致功能预后受损的相关病例报道。

病例报告

我们报告一例膝上截肢并进行神经切除术后28年出现复发性症状性残端神经瘤的病例。

结论

复发性残端神经瘤延迟出现是一种罕见情况,需要早期发现和治疗以获得更好的功能。该病例情况独特且对未来治疗具有重要价值,包括提高对此独特病理情况的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/dddbd41c72ca/JOCR-10-28-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/b79db1ec91aa/JOCR-10-28-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/43f9ffc393f6/JOCR-10-28-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/dddbd41c72ca/JOCR-10-28-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/b79db1ec91aa/JOCR-10-28-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/43f9ffc393f6/JOCR-10-28-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2229/7815666/dddbd41c72ca/JOCR-10-28-g003.jpg

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本文引用的文献

1
Surgical Algorithm for Neuroma Management: A Changing Treatment Paradigm.神经瘤治疗的手术算法:不断变化的治疗模式
Plast Reconstr Surg Glob Open. 2018 Oct 16;6(10):e1952. doi: 10.1097/GOX.0000000000001952. eCollection 2018 Oct.
2
Traction Neurectomy for Treatment of Painful Residual Limb Neuroma in Lower Extremity Amputees.牵引神经切除术治疗下肢截肢患者疼痛性残端神经瘤
J Orthop Trauma. 2015 Sep;29(9):e321-5. doi: 10.1097/BOT.0000000000000337.
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Huge sciatic neuroma presented 40 years after traumatic above knee amputation.
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Pain Pract. 2010 Sep-Oct;10(5):485-91. doi: 10.1111/j.1533-2500.2009.00353.x.
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Sciatic neuroma presenting forty years after above-knee amputation.坐骨神经瘤在膝上截肢术后四十年出现。
Open Orthop J. 2009 Dec 30;3:125-7. doi: 10.2174/1874325000903010125.
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Long-term clinical outcomes of Iranian veterans with unilateral transfemoral amputation.伊朗单侧股部截肢退役军人的长期临床结局。
Disabil Rehabil. 2009;31(22):1873-7. doi: 10.1080/09638280902810968.
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Painful neuroma requiring surgical excision after lower limb amputation caused by landmine explosions.因地雷爆炸导致下肢截肢后需要手术切除的疼痛性神经瘤。
Int Orthop. 2009 Apr;33(2):533-6. doi: 10.1007/s00264-007-0466-y. Epub 2007 Oct 17.
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Lower limb landmine injuries.下肢地雷伤
Prosthet Orthot Int. 2004 Apr;28(1):37-43. doi: 10.3109/03093640409167923.
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Sonographically guided phenol injection in painful stump neuroma.超声引导下酚注射治疗疼痛性残端神经瘤
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