Abstract
Objective traumatic neuroma is a pathological condition of peripheral nervous system consisting of localized proliferation of injured nerve elements. The symptoms depend on the type of involved nerve (motor and/or sensitive) and on the site and the extension of the lesion. Ultrasound is the best tool to depict the morphology of nerve, especially in traumatic conditions. We present a study aimed to assess the correlation between the degree of nerve function and the ultrasound morphology of neuromas. Patients and methods we retrospectively evaluated 18 patients with neuromas (not transected) occurred after a closed nerve trauma evaluated with clinical and ultrasound assessment. The clinical evaluation was related to the % of increase of cross sectional area as detected by nerve ultrasound respect to normal nerve. Results we observed that dimensions of neuromas are not related to function until neuroma have cross sectional area 5 times enlarged respect to normal nerve, in this case recovery never occurs. Conclusion our study failed to clear detect a relation between cross sectional area enlargement of neuroma and nerve function, but showed a cut off beyond which prognosis is negative. This result provide some useful information for prognosis, nevertheless we believe that future perspective studies are needed to better understand the timing of developing neuromas and its evolution.
| Original language | English |
|---|---|
| Pages (from-to) | 314-318 |
| Number of pages | 5 |
| Journal | Clinical Neurology and Neurosurgery |
| Volume | 139 |
| DOIs | |
| Publication status | Published - Dec 1 2015 |
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Keywords
- Neuroma
- Peripheral nerve trauma
- Rehabilitation
- Surgery
- Ultrasound
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
Cite this
Post-traumatic neuroma due to closed nerve injury. Is recovery after peripheral nerve trauma related to ultrasonographic neuroma size? / Coraci, Daniele; Pazzaglia, Costanza; Doneddu, Pietro Emiliano; Erra, Carmen; Paolasso, Ilaria; Santilli, Valter; Padua, Luca.
In: Clinical Neurology and Neurosurgery, Vol. 139, 01.12.2015, p. 314-318.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Post-traumatic neuroma due to closed nerve injury. Is recovery after peripheral nerve trauma related to ultrasonographic neuroma size?
AU - Coraci, Daniele
AU - Pazzaglia, Costanza
AU - Doneddu, Pietro Emiliano
AU - Erra, Carmen
AU - Paolasso, Ilaria
AU - Santilli, Valter
AU - Padua, Luca
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Objective traumatic neuroma is a pathological condition of peripheral nervous system consisting of localized proliferation of injured nerve elements. The symptoms depend on the type of involved nerve (motor and/or sensitive) and on the site and the extension of the lesion. Ultrasound is the best tool to depict the morphology of nerve, especially in traumatic conditions. We present a study aimed to assess the correlation between the degree of nerve function and the ultrasound morphology of neuromas. Patients and methods we retrospectively evaluated 18 patients with neuromas (not transected) occurred after a closed nerve trauma evaluated with clinical and ultrasound assessment. The clinical evaluation was related to the % of increase of cross sectional area as detected by nerve ultrasound respect to normal nerve. Results we observed that dimensions of neuromas are not related to function until neuroma have cross sectional area 5 times enlarged respect to normal nerve, in this case recovery never occurs. Conclusion our study failed to clear detect a relation between cross sectional area enlargement of neuroma and nerve function, but showed a cut off beyond which prognosis is negative. This result provide some useful information for prognosis, nevertheless we believe that future perspective studies are needed to better understand the timing of developing neuromas and its evolution.
AB - Objective traumatic neuroma is a pathological condition of peripheral nervous system consisting of localized proliferation of injured nerve elements. The symptoms depend on the type of involved nerve (motor and/or sensitive) and on the site and the extension of the lesion. Ultrasound is the best tool to depict the morphology of nerve, especially in traumatic conditions. We present a study aimed to assess the correlation between the degree of nerve function and the ultrasound morphology of neuromas. Patients and methods we retrospectively evaluated 18 patients with neuromas (not transected) occurred after a closed nerve trauma evaluated with clinical and ultrasound assessment. The clinical evaluation was related to the % of increase of cross sectional area as detected by nerve ultrasound respect to normal nerve. Results we observed that dimensions of neuromas are not related to function until neuroma have cross sectional area 5 times enlarged respect to normal nerve, in this case recovery never occurs. Conclusion our study failed to clear detect a relation between cross sectional area enlargement of neuroma and nerve function, but showed a cut off beyond which prognosis is negative. This result provide some useful information for prognosis, nevertheless we believe that future perspective studies are needed to better understand the timing of developing neuromas and its evolution.
KW - Neuroma
KW - Peripheral nerve trauma
KW - Rehabilitation
KW - Surgery
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=84946718837&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84946718837&partnerID=8YFLogxK
U2 - 10.1016/j.clineuro.2015.10.034
DO - 10.1016/j.clineuro.2015.10.034
M3 - Article
C2 - 26571458
AN - SCOPUS:84946718837
VL - 139
SP - 314
EP - 318
JO - Clinical Neurology and Neurosurgery
JF - Clinical Neurology and Neurosurgery
SN - 0303-8467
ER -