Fablet Xavier, Dreano Thierry, Gutierrez Francisco Llamas, Kim Warren, Guillin Raphaël
CHU de Rennes (Service d'imagerie Médicale), 16 Boulevard de Bulgarie, 35000, Rennes, France.
CHU de Rennes (Service de Chirurgie Orthopédique), 2 Rue Henri Le Guilloux, 35000, Rennes, France.
Skeletal Radiol. 2025 Sep 18. doi: 10.1007/s00256-025-05024-y.
A distal posterior interosseous nerve (DPIN) neuroma related to prior surgery of the wrist can lead to disabling chronic pain. Ultrasound may represent a useful diagnostic tool due to its high resolution and ability to detect iatrogenic neuromas along small nerves of the limbs. However, the utility of ultrasound in the evaluation of both the normal sonographic appearance of the DPIN and traumatic neuromas is limited. We present a series of two patients who suffered from chronic dorsal wrist postoperative pain, where ultrasound detected histologically confirmed DPIN neuromas. After DPIN resection, the pain of our two patients completely disappeared without any functional deficit.
与先前手腕手术相关的骨间后神经远侧端（DPIN）神经瘤可导致致残性慢性疼痛。超声因其高分辨率以及能够沿着肢体小神经检测医源性神经瘤的能力，可能是一种有用的诊断工具。然而，超声在评估DPIN的正常超声表现和创伤性神经瘤方面的效用有限。我们报告了一系列两例患有慢性腕背术后疼痛的患者，超声检测到经组织学证实的DPIN神经瘤。在切除DPIN后，我们这两名患者的疼痛完全消失，且无任何功能缺陷。
