Painful neuroma of the posterior cutaneous nerve of the forearm after surgery for lateral humeral epicondylitis

A. Lee Dellon, Jaesuk Kim, Ivica Ducic

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To describe a neuroma of the posterior cutaneous nerve of the forearm that can be the source of pain after surgery for lateral humeral epicondylitis. Methods: A retrospective chart review of 9 patients having pain after surgery for lateral humeral epicondylitis was conducted to evaluate their history of pain, surgical findings during exploration of their painful lateral elbow scar, and outcome of their surgical treatment. Results: In each of the 9 patients a neuroma of the posterior cutaneous nerve of the forearm was found to be within the scar of the original lateral epicondylitis surgery. For each of these patients the surgical treatment included resection of the neuroma and implantation of the proximal end of the nerve into the brachioradialis muscle proximal to the elbow joint. With this approach 8 of the patients had excellent pain relief and 1 had good pain relief at a mean follow-up time of 1.4 years (range, 1.0-2.6 years). Conclusions: Pain in the region of the scar after surgery to treat lateral humeral epicondylitis can be caused by a neuroma of the posterior cutaneous nerve of the forearm and this painful neuroma can be treated successfully by neuroma resection and implantation of the nerve proximally into the brachioradialis muscle.

Original languageEnglish (US)
Pages (from-to)387-390
Number of pages4
JournalJournal of Hand Surgery
Volume29
Issue number3
DOIs
StatePublished - May 2004
Externally publishedYes

Keywords

  • Lateral epicondylitis
  • Neuroma
  • Tennis elbow

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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