Traditional Neuroma Management

Hand Clin. 2021 Aug;37(3):335-344. doi: 10.1016/j.hcl.2021.04.002.

Abstract

With the development of newer techniques for symptomatic neuroma treatment, such as regenerative peripheral nerve interface and targeted muscle reinnervation, transposition and coverage techniques often have been referred to as "passive techniques." In spite of its negative connotation, these passive techniques yield positive results in a majority of patients treated. The experienced surgeon has more options than ever before in the prevention and management of problematic neuromas. Critical appraisal of the current literature reveals no single, optimal standard of care. Instead, surgeons have a plethora of useful techniques that can be implemented on a case-by-case basis to optimize outcomes.

Keywords: Amputation; Nerve repair; Neuroma; Surgical management.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Amputation Stumps* / innervation
  • Amputation, Surgical / adverse effects
  • Humans
  • Nerve Regeneration
  • Nerve Transfer*
  • Neuroma* / prevention & control
  • Peripheral Nerves / physiopathology
  • Peripheral Nerves / surgery