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- Title
Ultrasound-Guided Cryoablation of a Traumatic Hip Disarticulation Neuroma.
- Authors
Ramsook, Ryan R.; Spinner, David
- Abstract
Objective Traumatic amputation at the pelvic level is a rare procedure with few studies addressing long-term complications. Painful neuroma formation may form at the site of nerve transection and cause significant impairments in daily living. Ultrasound-guided cryoablation therapy has grown in popularity and should be considered in patients with painful neuromas. This is a case report of complete pain relief in a patient with rare traumatic hip disarticulation with neuroma formation, treated with ultrasound-guided cryoablation. The patient gave consent for publication. Design Single case report. Setting Mount Sinai Medical Center. Patient A 57-year-old man with traumatic hip disarticulation over 30 years ago with a 10-year history of severe residual limb pain from neuroma formation. Interventions Ultrasound-guided cryoablative injection therapy. Outcome Measures Pain reduction. Results Ultrasound-guided cryoablation of a traumatic hip disarticulation neuroma resulting in complete pain relief and improved functionality and independence. Conclusions This case illustrates a rare incidence of painful neuroma formation in a patient with traumatic hip disarticulation. Cryoablation with ultrasound guidance resulted in resolution of all pain. We report, to the best of our knowledge, the first occasion of an ultrasound-guided cryoablation resulting in complete pain relief in a traumatic hip disarticulation neuroma.
- Subjects
NEUROMAS; CRYOSURGERY; HIP joint; LIFE skills; SURGICAL complications; ULTRASONIC imaging; PAIN management; TREATMENT effectiveness; TRAUMATIC amputation; DISEASE complications; THERAPEUTICS
- Publication
Pain Practice, 2017, Vol 17, Issue 7, p941
- ISSN
1530-7085
- Publication type
Article
- DOI
10.1111/papr.12534