Skip to main content
SpringerLink
Log in

Névromes cicatriciels

  • Chapter
Book cover La douleur chronique post-chirurgicale

  • 717 Accesses

Résumé

Le névrome cicatriciel d’un traumatisme ou d’un acte chirurgical résulte d’une régénération anormale et hypersensible d’un tronc nerveux distal après sa lésion partielle ou complète. Cette lésion peut être la conséquence de divers facteurs mécaniques, dont certains directement liés á l’acte chirurgical (pression prolongée ou écrasement brutal, étirement prolongé ou brutal) et favorisés par diverses situations : durant la période traumatique (hématome, ischémie, ou inflammation tissulaires; qualité de la réparation chirurgicale d’une section nerveuse) ou après la période traumatique (cicatrisation tissulaire fibreuse). La particularité de cette évolution anatomique nerveuse après la lésion est d’engendrer potentiellement un état d’hypersensibilité mécanique de l’extrémité distale du tronc nerveux, á l’origine d’un syndrome douloureux souvent très handicapant pour l’individu.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Atherton DD, Taherzadeh O, Facer P, et al. (2006) The potential role of nerve growth factor (NGF) in painful neuromas and the mechanism of pain relief by their relocation to muscle. J Hand Surg 31B: 652–6

    Google Scholar 

  2. Barbera J, Albert-Pamplo R (1993) Centrocentral anastomosis of the proximal nerve stump in treatment of painful amputation neuromas of major nerves. J Neurosurg 79: 331–4

    Article  PubMed  CAS  Google Scholar 

  3. Bennett GL, Graham C, Mauldin DM (1995) Morton’s interdigital neuroma: a comprehensive treatment protocol. Foot Ankle Int 16: 760–3

    Article  PubMed  CAS  Google Scholar 

  4. Birch R (2005) The peripheral neuroma. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe S. Green’s operative hand surgery. 5th ed. New York, Churchill Livingstone: p. 1102–11

    Google Scholar 

  5. Bouhassira D, Attal N (2007) Traitement pharmacologique. In: Douleurs neuropathiques. Paris, Arnette: 111–39

    Google Scholar 

  6. Boya H, Ozcan O, Oztekin HH (2008) Long term complications of open carpal tunnel release. Muscle Nerve 38: 1443–6

    Article  PubMed  Google Scholar 

  7. Burchiel KJ, Johans TJ, Ochoa J (1993) The surgical treatment of painful traumatic neuromas. J Neurosurg 78: 714–9

    Article  PubMed  CAS  Google Scholar 

  8. Curtin C, Caroll I (2009) Cutaneous neuroma physiology and its relationship to chronic pain. J H S Am 34: 1334–6

    Google Scholar 

  9. Dellon AL, Mackinson SE (1986) Treatment of painful neuroma by neuroma resection and muscle implantation. Plast Reconst Surg 77: 427–38

    Article  PubMed  CAS  Google Scholar 

  10. Dubner R (1997) Neural basis of persistent pain: sensory specialization, sensory modulation, and neuronal plasticity. In: Jensen TS, Turner JA, Wiesenfeld-Hallin Z, eds. Proceedings of the 8th World Congress on Pain. Seattle, IASP Press: p. 243–58

    Google Scholar 

  11. Ducic I, Mesbahi AN, Attinger CE, Graw K (2008) The role of peripheral nerve surgery in treatment of chronic pain associated with amputation stumps. Plast Reconstr Surg 121: 908

    Article  PubMed  CAS  Google Scholar 

  12. Enberg LA, Adler RS, Lane J (2003) Ultrasound in the detection and treatment of a painful stump neuroma. Skeletal Radiol 32: 306–9

    Article  Google Scholar 

  13. Geraghty TJ, Jones LE (1996) Painful neuromata following upper limb amputation. Prosthet Orthot Int 20: 176–81

    PubMed  CAS  Google Scholar 

  14. Gorkisch K, Boese-Landgraf J, Vaubel E (1984) Treatment and prevention of amputation neuromas in hand surgery. Plast Reconstr Surg 73: 293–9

    Article  PubMed  CAS  Google Scholar 

  15. Green DP, Hotchkiss RN, Pederson WC, Wolfe S (2005) Green’s operative hand surgery. 5th ed. New York, Churchill Livingstone: p. 1102–11.

    Google Scholar 

  16. Greenfield J, Rea J Jr, Ilfeld FW (1984) Morton’s interdigital neuroma: indications for treatment by local injections versus surgery. Clin Orthop Relat Res 185: 142–5

    PubMed  Google Scholar 

  17. Gruber H, Glodny B, Kopf H, et al. (2008) Practical experience sonographically guided phenol instillation of stump neuroma: predictors of effects, success and outcome. AJR Am J Roentgenol 190: 1263–9

    Article  PubMed  Google Scholar 

  18. Guégan Y (1998) Traumatismes des nerfs périphériques. http://www.med.univrennes1.fr/etud/neuro/traumismes_des_nerfs_peripheriques.htm

    Google Scholar 

  19. Guttmann L, Medawar PB (1942) The chemical inhibition of fibre regeneration and neuroma formation in peripheral nerves. J Neurol Psychiatr 5: 130

    Article  CAS  Google Scholar 

  20. Han HC, Lee DH, Chung JM (2000) Characteristics of ectopic discharges in a rat neuropathic pain model. Pain 84: 253–61

    Article  PubMed  CAS  Google Scholar 

  21. Hebert TJ, Filan S (1998) Vein implantation for treatment of painful cutaneous neuroma. A preliminary report. J Hand Surg 23B: 220–4

    Google Scholar 

  22. Herndon JH, Eaton RG, Littler JW (1976) Management of painful neuromas in the hand. J Bone Joint Surg 58A: 369–73

    Google Scholar 

  23. Herndon JH (1993) Neuromas in operative hand surgery. 3rd Ed. New York, Churchill Livingstone: p. 1387–1400

    Google Scholar 

  24. Kluge W, Simpson RG, Nicol AC (1996) Late complications after open carpal tunnel decompression. J Hand Surg 21B: 205–7

    Google Scholar 

  25. Krishnan KG, Pinzer T, Schakert G (2005) Coverage of painful peripheral neuromas with vascularized soft tissues: method and results. Neurosurgery 56: 369–78

    Article  PubMed  Google Scholar 

  26. Lanzetta M, Nolli R (2000) Nerve stripping: a new treatment for neuromas of palmar cutaneous branch of the median nerve. J Hand Surg 25B: 151–3

    Google Scholar 

  27. Lundborg G (2000) A 25 year perspective nerve surgery; evolving neuroscientific concepts of clinical signifiance. J Hand Surg 25A: 391–414

    Google Scholar 

  28. Mass DP, Ciano MC, Tortosa R, et al. (1984) Treatment of painful hand neuromas by their transfer into bone. Plast Reconstr Surg 74: 182–5

    Article  PubMed  CAS  Google Scholar 

  29. Meek JF, Coert JH, Robinson PH (2005) Poor results after nerve grafting in upper extremity: Quo vadis? Microsurgery 25: 396–402

    Article  PubMed  CAS  Google Scholar 

  30. Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150: 971–9

    Article  PubMed  CAS  Google Scholar 

  31. Orza F, Boswell MV, Rosenberg SK (2000) Neuropathic pain: Review of mechanisms and pharmacologic management. NeuroRehabilitation 14: 15–23

    PubMed  Google Scholar 

  32. Pruimboon L, van Dam AC (2007) Chronic pain: A non-use disease. Med Hypotheses 68: 506–11

    Article  Google Scholar 

  33. Rajput K, Reddy S, Shankar H (2012) Painful neuromas: A Review. Clin J Pain 28: 639–45

    Article  PubMed  Google Scholar 

  34. Sehirlioglu A, Ozturk C, Yazicioglu K, et al. (2009) Painful neuroma requiring surgical excision after lower limb amputation caused by landmine explosions. Int Orthopaedics 32(2): 32

    Google Scholar 

  35. Stokvis A, Van Der Avoort DJ, Van Neck JW, et al. (2010) Surgical management of neuroma pain: A prospective follow-up study. Pain 151: 862–9

    Article  PubMed  Google Scholar 

  36. Soroush M, Modirian E, Masoumi M (2008) Neuroma in bilateral upper limb amputation. Orthopedics 31(12)

    Google Scholar 

  37. Sunderland S (1970) Anatomical features of nerve trunks in relation to nerve injury and nerve repair. Clin Neurosurg 17: 38–62

    PubMed  CAS  Google Scholar 

  38. Tupper JW, Booth DM (1976) Treatment of painful neuromas of sensory nerves in the hand: a comparison of traditional and newer methods. J Hand Surg 1: 144–1

    Article  CAS  Google Scholar 

  39. Vernadakis AJ, Koch H, Mac Kinnon SE (2003) Management of neuromas. Clin Plast Surg 30: 247–68

    Article  PubMed  Google Scholar 

  40. Wall PD, Gutnick M (1974) Properties of afferent nerve impulses originating from a neuroma. Nature (London) 248: 740–3

    Article  CAS  Google Scholar 

  41. Watson J, Gonzales M, Romero A, Kerns J (2010) Neuromas of the hand and upper extremity. J Hand Surg 35A: 495–510

    Google Scholar 

  42. Yüksel F, Kislaoglu E, Durak N, et al. (1997) Prevention of painful neuromas by epineural ligatures, flaps, and grafts. Br J Plast Surg 50: 182–5

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Unité douleur, Service de neurochirurgie, Hôpital Sainte-Anne, 1, rue Cabanis, 75014, Paris, France

    M.-T. Gatt

Authors
  1. M.-T. Gatt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M.-T. Gatt .

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Paris

About this chapter

Cite this chapter

Gatt, MT. (2013). Névromes cicatriciels. In: La douleur chronique post-chirurgicale. Springer, Paris. https://doi.org/10.1007/978-2-8178-0026-4_13

Download citation

  • DOI: https://doi.org/10.1007/978-2-8178-0026-4_13

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0025-7

  • Online ISBN: 978-2-8178-0026-4

Publish with us

Policies and ethics

Search

Navigation