caa a22 4500 60621576X CHVBK 20210128101100.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00701-014-2288-1 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2288-1 Interdigital direct neurorrhaphy for treatment of painful neuroma due to finger amputation [Elektronische Daten] [Roberto Martins, Mario Siqueira, Carlos Heise, Lin Yeng, Daniel de Andrade, Manoel Teixeira] Background: Painful neuroma following amputation is a disabling condition for which treatments are not usually satisfactory. The aim of this study is to retrospectively evaluate the results of interdigital neurorrhaphy after neuroma resection as an option for the surgical treatment of painful digital neuroma. Method: We retrospectively analyzed data from seven patients submitted to interdigital neurorrhaphy for treatment of digital neuroma. For evaluation of the results, the visual analog scale (VAS) for pain assessment, measurements with Simmens-Weinstein filaments and a handgrip dynamometer, and quantification of the Disabilities of the Arm, Shoulder and Hand (DASH) score were all performed. The mean improvements on the VAS and DASH scores were calculated. Results: The mean follow-up was 28.3months. All patients presented some degree of improvement in upper limb functionality and pain, and handling the affected finger was possible in all cases. The mean improvement on the VAS and DASH scores was 29.8 and 55.5%, respectively. No patients presented long-term complications. Conclusion: Although this study was based on a small number of patients, it indicates that interdigital neurorrhaphy seems to be a feasible surgical treatment for painful digital neuroma. Springer-Verlag Wien, 2014 Neuroma nationallicence Digital nerve nationallicence Centrocentral anastomosis nationallicence Neurorrhaphy nationallicence Amputation neuroma nationallicence Pain nationallicence Martins Roberto Peripheral Nerve Surgery Unit, Division of Neurosurgery, University of São Paulo Medical School, R. Oscar Freire 2250, 5409011, São Paulo, SP, Brazil aut Siqueira Mario Peripheral Nerve Surgery Unit, Division of Neurosurgery, University of São Paulo Medical School, R. Oscar Freire 2250, 5409011, São Paulo, SP, Brazil aut Heise Carlos Peripheral Nerve Surgery Unit, Division of Neurosurgery, University of São Paulo Medical School, R. Oscar Freire 2250, 5409011, São Paulo, SP, Brazil aut Yeng Lin Pain Clinic, Physical Medicine Division of Institute of Orthopedics and Traumatology, University of São Paulo Medical School, São Paulo, Brazil aut de Andrade Daniel Division of Neurosurgery, Department of Neurology, University of São Paulo Medical School, São Paulo, Brazil aut Teixeira Manoel Division of Neurosurgery, Department of Neurology, University of São Paulo Medical School, São Paulo, Brazil aut Acta Neurochirurgica Springer Vienna 157/4(2015-04-01), 667-671 0001-6268 157:4<667 2015 157 701 https://doi.org/10.1007/s00701-014-2288-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2288-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Martins Roberto Peripheral Nerve Surgery Unit, Division of Neurosurgery, University of São Paulo Medical School, R. Oscar Freire 2250, 5409011, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Siqueira Mario Peripheral Nerve Surgery Unit, Division of Neurosurgery, University of São Paulo Medical School, R. Oscar Freire 2250, 5409011, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Heise Carlos Peripheral Nerve Surgery Unit, Division of Neurosurgery, University of São Paulo Medical School, R. Oscar Freire 2250, 5409011, São Paulo, SP, Brazil aut NATIONALLICENCE 700 1- Yeng Lin Pain Clinic, Physical Medicine Division of Institute of Orthopedics and Traumatology, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- de Andrade Daniel Division of Neurosurgery, Department of Neurology, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 700 1- Teixeira Manoel Division of Neurosurgery, Department of Neurology, University of São Paulo Medical School, São Paulo, Brazil aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/4(2015-04-01), 667-671 0001-6268 157:4<667 2015 157 701