Stump neuromas - upper limb

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Amputation of the left upper limb for rhabdomyosarcoma of the forearm 4 years ago. Presented with stump pain and numbness.

Patient Data

Age: 13 years
Gender: Male
mri
This study is a stack
Coronal
T1
This study is a stack
Axial
T1
This study is a stack
Coronal PD
fat sat
This study is a stack
Axial PD
fat sat
This study is a stack
Coronal T1
fat sat
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Axial T1
C+ fat sat
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Info

There are three well-defined fusiform masses along the course of the radial nerve (12 x 10 x 8 mm), median nerve (16 x 11 x 9 mm) and ulnar nerve (16 x 11 x 7 mm). They elicit an isosignal to the muscles on T1, high signal on T2 and STIR with moderate peripheral enhancement.

Annotated image
Median nerve
neuroma
Radial nerve
neuroma
Ulnar nerve
neuroma
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Info

Annotated images of the median, radial, and ulnar nerves neuroma.

Case Discussion

MRI features are most consistent with stump neuromas arising from the end of the radial, median, and ulnar nerves.

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