Surgical Outcomes of Spiral Vein Wrapping Flaps for Painful Neuromas: A Case Series Analysis

21 October 2024 : Case report Indonesia

Unusual setting of medical care

Meirizal Meirizal^12ABCDEF*, Karisa Kartika Sukotjo^12BCDEF, A. Faiz Huwaidi

^2BCDF, Agung Susilo Lo^2EF

DOI: 10.12659/AJCR.945014

Am J Case Rep 2024; 25:e945014

Introduction Case Report Discussion Conclusions References:

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Table 2. Clinical outcomes after the procedure.

No.	Diagnosis	Neuroma Pain Score		Weber 2-Point Discrimination Test
No.	Diagnosis	Before	After	Before	After
Patient 1	Ulnar nerve palsy with neuroma-in-continuity	SpontaneousBasal: moderateSpikes: severe (2–3 times/day)Pressure: moderateMovement: moderateHypersensitivity: moderate	SpontaneousBasal: mildSpikes: moderate (1–2 times/day)Pressure: mildMovement: mildHypersensitivity: mild	12 mm	7 mm
Patient 2	Median nerve neuroma-in-continuity	SpontaneousBasal: moderateSpikes: severe (4–5 times/day)Pressure: moderateMovement: moderateHypersensitivity: moderate	SpontaneousBasal: mildSpikes: moderate (2–3 times/day)Pressure: mildMovement: mildHypersensitivity: mild	16 mm	8 mm
Patient 3	Median nerve neuroma-in-continuity	SpontaneousBasal: severeSpikes: severe (4–5 times/day)Pressure: severeMovement: moderateHypersensitivity: severe	SpontaneousBasal: moderateSpikes: severe (2–3 times/day)Pressure: mildMovement: mildHypersensitivity: moderate	25 mm	15 mm
Patient 4	Femoral nerve stump neuroma	SpontaneousBasal: severeSpikes: severe (5–8 times/day)Pressure: severeMovement: moderateHypersensitivity: severe	SpontaneousBasal: mildSpikes: moderate (2–3 times/day)Pressure: moderateMovement: mildHypersensitivity: mild	20 mm	15 mm

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