• Ryan R Ramsook and David Spinner.
• Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, U.S.A.
• Pain Pract. 2017 Sep 1; 17 (7): 941-944.

ObjectiveTraumatic 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.DesignSingle case report.SettingMount Sinai Medical Center.PatientA 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.InterventionsUltrasound-guided cryoablative injection therapy.Outcome MeasuresPain reduction.ResultsUltrasound-guided cryoablation of a traumatic hip disarticulation neuroma resulting in complete pain relief and improved functionality and independence.ConclusionsThis 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.© 2016 World Institute of Pain.

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