Stump neuroma - hand

Case contributed by Dr Ammar Haouimi

Presentation

Partial amputation of the 3rd digit of the left hand following a road traffic accident one year ago presented with a focal area of pain and tenderness to palpation.

Patient Data

Age: 35 years
Gender: Male
MRI

The MRI sequences demonstrate a small well-defined lesion measuring 5 x 4 x 4 mn of the anterolateral aspect of the 3rd digit at the level of the proximal phalangeal head, eliciting a low signal on T1, high signal on T2 with vivid homogeneous enhancement on postcontrast sequences.

Annotated image

Annotated images: the yellow arrow indicates the location of the lesion.

Case Discussion

MRI features are most consistent with a stump neuroma arising from the end of the injured palmar digital nerve. Its detection on MRI is sometimes difficult when the lesion is small in size as in this case.

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Case information

rID: 89754
Published: 19th May 2021
Last edited: 20th May 2021
Tag: neuroma
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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