Sciatic Neuroma Presenting Forty Years After Above-Knee Amputation
M. Kitcat1, J.E. Hunter2, C.M. Malata*, 1
Identifiers and Pagination:Year: 2009
First Page: 125
Last Page: 127
Publisher ID: TOORTHJ-3-125
Article History:Received Date: 8/9/2009
Revision Received Date: 18/9/2009
Acceptance Date: 17/11/2009
Electronic publication date: 30/12/2009
Collection year: 2009
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.
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.