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Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis.
J Hand Surg Am. 2004 May; 29(3):387-90.JH

Abstract

PURPOSE

To describe a neuroma of the posterior cutaneous nerve of the forearm that can be the source of pain after surgery for lateral humeral epicondylitis.

METHODS

A retrospective chart review of 9 patients having pain after surgery for lateral humeral epicondylitis was conducted to evaluate their history of pain, surgical findings during exploration of their painful lateral elbow scar, and outcome of their surgical treatment.

RESULTS

In each of the 9 patients a neuroma of the posterior cutaneous nerve of the forearm was found to be within the scar of the original lateral epicondylitis surgery. For each of these patients the surgical treatment included resection of the neuroma and implantation of the proximal end of the nerve into the brachioradialis muscle proximal to the elbow joint. With this approach 8 of the patients had excellent pain relief and 1 had good pain relief at a mean follow-up time of 1.4 years (range, 1.0-2.6 years).

CONCLUSIONS

Pain in the region of the scar after surgery to treat lateral humeral epicondylitis can be caused by a neuroma of the posterior cutaneous nerve of the forearm and this painful neuroma can be treated successfully by neuroma resection and implantation of the nerve proximally into the brachioradialis muscle.

Authors+Show Affiliations

Division of Plastic Surgery and Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15140477

Citation

Dellon, A Lee, et al. "Painful Neuroma of the Posterior Cutaneous Nerve of the Forearm After Surgery for Lateral Humeral Epicondylitis." The Journal of Hand Surgery, vol. 29, no. 3, 2004, pp. 387-90.
Dellon AL, Kim J, Ducic I. Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis. J Hand Surg Am. 2004;29(3):387-90.
Dellon, A. L., Kim, J., & Ducic, I. (2004). Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis. The Journal of Hand Surgery, 29(3), 387-90.
Dellon AL, Kim J, Ducic I. Painful Neuroma of the Posterior Cutaneous Nerve of the Forearm After Surgery for Lateral Humeral Epicondylitis. J Hand Surg Am. 2004;29(3):387-90. PubMed PMID: 15140477.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis. AU - Dellon,A Lee, AU - Kim,Jaesuk, AU - Ducic,Ivica, PY - 2004/01/02/accepted PY - 2003/04/17/received PY - 2004/5/14/pubmed PY - 2004/9/3/medline PY - 2004/5/14/entrez SP - 387 EP - 90 JF - The Journal of hand surgery JO - J Hand Surg Am VL - 29 IS - 3 N2 - PURPOSE: To describe a neuroma of the posterior cutaneous nerve of the forearm that can be the source of pain after surgery for lateral humeral epicondylitis. METHODS: A retrospective chart review of 9 patients having pain after surgery for lateral humeral epicondylitis was conducted to evaluate their history of pain, surgical findings during exploration of their painful lateral elbow scar, and outcome of their surgical treatment. RESULTS: In each of the 9 patients a neuroma of the posterior cutaneous nerve of the forearm was found to be within the scar of the original lateral epicondylitis surgery. For each of these patients the surgical treatment included resection of the neuroma and implantation of the proximal end of the nerve into the brachioradialis muscle proximal to the elbow joint. With this approach 8 of the patients had excellent pain relief and 1 had good pain relief at a mean follow-up time of 1.4 years (range, 1.0-2.6 years). CONCLUSIONS: Pain in the region of the scar after surgery to treat lateral humeral epicondylitis can be caused by a neuroma of the posterior cutaneous nerve of the forearm and this painful neuroma can be treated successfully by neuroma resection and implantation of the nerve proximally into the brachioradialis muscle. SN - 0363-5023 UR - https://www.unboundmedicine.com/medline/citation/15140477/Painful_neuroma_of_the_posterior_cutaneous_nerve_of_the_forearm_after_surgery_for_lateral_humeral_epicondylitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0363502304001029 DB - PRIME DP - Unbound Medicine ER -