• R J Mobbs, M Vonau, and P Blum.
• Department of Neurosurgery, Institute of Neurological Sciences, The Prince of Wales Hospital, Sydney, Australia. ralphmobbs@hotmail.com
• J Clin Neurosci. 2003 May 1; 10 (3): 338-9.

AbstractPainful neuromas form on cutaneous nerves as a result of trauma, pressure, stretch or entrapment. Since the earliest descriptions of neuromas, proposed treatments have been met with poor results and controversy. The myriad of treatments described include: simple division of an affected nerve, implantation into muscle or bone, silicon sleeves and caps, repeated injection of steroids, end-to-side neurorrhaphy, medication and vein caps to name a few. Due to encouraging recent reports of treatment of painful neuromas by vein implantation, the authors describe a simple technique to achieve this surgical goal. As veins are readily accessible due to their proximity in the neurovascular bundle, they serve as a ready source for grafting. The advantages include minimisation of trauma to bone and muscle as compared with previous treatment techniques and the relative ease of the method.

11 keywords...

hide…