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Stump neuroma - upper limb

Case contributed by Dr Abdulmajid Bawazeer

Presentation

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

Patient Data

Age: 45 years
Gender: Male
MRI

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

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Case information

rID: 75397
Published: 27th Mar 2020
Last edited: 1st Apr 2020
Inclusion in quiz mode: Included
Institution: The Islamic Hospital

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