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Journal of Hand Surgery (European Volume)
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Articles

Relocation of Painful Neuromas in Zone III of the Hand and Forearm

DUNCAN D. ATHERTON
JAN FABRE
PRAVEEN ANAND
DAVID ELLIOT

From the Hand Surgery Department, St. Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK

Correspondence: Mr Duncan D. Atherton BSc, MRCS, MD, Hand Surgery Department, St. Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex CM1 7ET, UK. E-mail: duncanatherton{at}hotmail.co.uk.

Painful nerves are a difficult and complex clinical problem. We describe the result of treatment by proximal relocation of 51 painful end neuromas and scarred nerves of the forearm in 33 patients. The relocated nerves included 29 superficial radial nerves, 16 lateral antebrachial cutaneous nerves, two medial cutaneous nerves and four posterior cutaneous nerves. These relocations achieved no, or only mild, pain in 100% of nerves at the original site and 94% of nerves at the relocation site. It also achieved no, or only mild, hypersensitivity in 96% of nerves at the original site and 98% of nerves at the relocation site. The technical difficulties encountered in this region, in particular on the radial aspect of the wrist, are discussed.

Key Words: neuroma • scar-tethered nerve • neuromain-continuity • neuropathic pain • relocation

Journal of Hand Surgery (European Volume), Vol. 33, No. 2, 155-162 (2008)
DOI: 10.1177/1753193408087107
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