Geraghty T J, Jones L E
Spinal Unit, Royal North Shore Hospital, Sydney, Australia.
Prosthet Orthot Int. 1996 Dec;20(3):176-81. doi: 10.3109/03093649609164440.
Painful neuromata occurring after upper limb amputation are a significant cause of stump pain and limit the success of prosthetic training and use. There is little information in the literature regarding incidence, consequences or outcomes of painful neuromata subsequent to upper limb amputation. This article reports an analysis of thirty-two consecutive upper limb amputees. Of these 25% had moderate-to-severe stump pain and clinical signs suggestive of neuromata. All patients with neuromata were limited in their ability to use a prosthesis prior to surgery and following failure of conservative measures, were referred for surgical opinion. Six patients have undergone surgical management. The results of surgery, with respect to pain and prosthetic usage, are discussed.
上肢截肢后出现的疼痛性神经瘤是残端疼痛的重要原因，限制了假肢训练和使用的成功率。关于上肢截肢后疼痛性神经瘤的发生率、后果或结果，文献中几乎没有相关信息。本文报告了对32例连续上肢截肢患者的分析。其中25%有中度至重度残端疼痛及提示神经瘤的临床体征。所有有神经瘤的患者在手术前使用假肢的能力均受限，在保守治疗失败后，被转诊以寻求手术意见。6例患者接受了手术治疗。本文讨论了手术在疼痛和假肢使用方面的结果。
