RESEARCH ARTICLE


Sciatic Neuroma Presenting Forty Years After Above-Knee Amputation



M. Kitcat1, J.E. Hunter2, C.M. Malata*, 1
1 Plastic and Reconstructive Surgery, Addenbrooke’s Hospital, Cambridge, UK
2 Plastic and Reconstructive Surgery, St George’s Hospital, London, UK


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© Kitcat et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Plastic and Reconstructive Surgery, Box 186, Addenbrooke’s Hospital, Hills Road, Cambridge, CB2 0QQ, UK; Tel: 01223 586672; Fax: 01223 257177; E-mail: cmalata@hotmail.com


Abstract

We report a case of a sciatic neuroma presenting forty years after above knee amputation. Patients developing neuroma following a limb amputation can present with stump pain which is commonly resistant to medical intervention. The length of interval from the initial injury to presentation is widely variable. Diagnosis relies on clinical suspicion and accurate assessment, radiological imaging and, if indicated, surgical exploration. MRI provides a better soft tissue definition than CT and is more accurate in identifying small lesions than ultrasound. The aim of treatment for symptomatic neuroma is pain relief and improvement of function. This is often achieved by surgical excision.

Keywords: Neuroma, stump pain, amputation, above-knee amputation, posttraumatic amputation neuroma.