Article

We report the results of treatment by division and proximal relocation of 44
painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all
patients, neuropathic pain had developed either following surgery or trauma, but
without apparent direct nerve injury. The mean duration of pain symptoms prior to
relocation was 17 (range 7-44) months. Adequate treatment involved relocation of
35 nerves at a first operation for each of the 22 patients, with six patients
requiring further surgery to relocate 9 nerves.
At a minimum follow-up of 6
months, nerve relocation resulted in complete resolution of all forms of pain at
the primary site in 21/22 (95%) patients and no pain or hypersensitivity at the
final relocation site in 19 of the 22 patients (86%).
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Langue : ANGLAIS