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Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Varberg Hosp, Sweden; Lund Univ, Sweden.
Lund Univ, Sweden; Helsingborg Hosp, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Hand and Plastic Surgery.ORCID iD: 0000-0003-2792-9525
2023 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 13, no 1, article id 17226Article in journal (Refereed) Published
Abstract [en]

Residual problems may occur from neuroma despite surgery. In a 12-month follow-up study using national register data, symptoms, and disabilities related to surgical methods and sex were evaluated in patients surgically treated for a neuroma. Among 196 identified patients (55% men; lower age; preoperative response rate 20%), neurolysis for nerve tethering/scar formation was the most used surgical method (41%; more frequent in women) irrespective of affected nerve. Similar preoperative symptoms were seen in patients, where different surgical methods were performed. Pain on load was the dominating symptom preoperatively. Women scored higher preoperatively at pain on motion without load, weakness and QuickDASH. Pain on load and numbness/tingling in fingers transiently improved. The ability to perform daily activities was better after nerve repair/reconstruction/transposition than after neurolysis. Regression analysis, adjusted for age, sex, and affected nerve, showed no association between surgical method and pain on load, tingling/numbness in fingers, or ability to perform daily activities. Neuroma, despite surgery, causes residual problems, affecting daily life. Choice of surgical method is not strongly related to pre- or postoperative symptoms. Neurolysis has similar outcome as other surgical methods. Women have more preoperative symptoms and disabilities than men. Future research would benefit from a neuroma-specific ICD-code, leading to a more precise identification of patients.

Place, publisher, year, edition, pages
NATURE PORTFOLIO , 2023. Vol. 13, no 1, article id 17226
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-200081DOI: 10.1038/s41598-023-44027-4ISI: 001116585900035PubMedID: 37821445OAI: oai:DiVA.org:liu-200081DiVA, id: diva2:1827708
Note

Funding Agencies|Lund University; Swedish Research Council [2022-01942]; Region Skane; Region ostergotland; Skane University Hospital; Linkoping University

Available from: 2024-01-15 Created: 2024-01-15 Last updated: 2024-01-15

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