Stump neuroma - upper limb

Case contributed by Abdulmajid Bawazeer
Diagnosis certain

Presentation

History of upper limb amputation with recurrent stump pain and numbness.

Patient Data

Age: 45 years
Gender: Male
mri
This study is a stack
Sagittal
T1 C+
This study is a stack
Sagittal
T1 fat sat
This study is a stack
Coronal
T1
This study is a stack
Coronal
T2
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial T1
C+ fat sat
Download
Info

There about two well defined fusiform mass lesions showing an intermediate signal on T1WI and hyperintense signal on T2WI seen at the course of ulnar and median nerves.

After contrast administration, the largest shows peripheral enhancement and the other one being heterogeneous in enhancement.

Amputation at the wrist (wrist disarticulation).

Case Discussion

Neuromas are a non-neoplastic proliferation that occurs at the end of an injured nerve (as can occur in amputation). Detection of neuroma is usually difficult when the neuroma is less than 1 cm 1,2

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.