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

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

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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