Treatment by collagen conduit of painful post-traumatic neuromas of the sensitive digital nerve: a retrospective study of 10 cases.

Abstract

OBJECTIVES:

The purpose of this retrospective study was to report the results of surgery in painful post-traumatic neuromas of the digital nerves treated by collagen conduits after excision of the neuromas, when two stumps were available.

METHODS:

We retrospectively reviewed all patients operated on for painful neuroma in our institution and having undergone repair with collagen conduits. Their files were retrieved by a coding file (CCAM version 10). Ten patients involving nine digital nerves and one common digital nerve were included. Primary outcome data points were static two-point discrimination, Semmes-Weinstein monofilament testing, Quick-Dash outcome survey scores, Cold Intolerance Symptom Severity (CISS) score and recurrence of pain at final follow-up. We set up a minimum follow-up period of 6 months after surgery.

RESULTS:

The patients' average age was 30 years. The average follow-up duration was 11.8 months. Five patients had excellent or good results (50%) at static two-point discrimination testing. Semmes-Weinstein monofilament testing results were full, diminished light touch or diminished protective sensation in nine digits (80%). The average Quick-Dash survey score was 19.3. The average CISS score was 27.8. There was no recurrence of pain.

CONCLUSIONS:

Our findings indicate that collagen conduit is an effective treatment for post-traumatic painful neuromas of digital nerves and common digital nerves.

• Authors: L Thomsen, P Bellemere, T Loubersac, E Gaisne, P Poirier, F Chaise
• Journal: Chirurgie de la main (Chir Main) Vol. 29 Issue 4 Pg. 255-62 (Sep 2010) ISSN: 1769-6666 [Electronic] France
• PMID: 20727807 (Publication Type: Journal Article)
• Copyright: Copyright © 2010. Published by Elsevier SAS.

Chemical References

• Collagen

Topics

• Adolescent
• Adult
• Amputation Stumps
• Collagen
• Female
• Fingers (innervation)
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Neoplasms, Post-Traumatic (diagnosis, therapy)
• Nerve Regeneration
• Neuroma (diagnosis, therapy)
• Pain Measurement
• Peripheral Nervous System Neoplasms (diagnosis, therapy)
• Postoperative Care (methods)
• Retrospective Studies
• Sensation (drug effects)
• Severity of Illness Index
• Treatment Outcome