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Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study
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; preoper...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10567846/ https://www.ncbi.nlm.nih.gov/pubmed/37821445 http://dx.doi.org/10.1038/s41598-023-44027-4 |
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author | Dahlin, Emma Zimmerman, Malin Nyman, Erika |
author_facet | Dahlin, Emma Zimmerman, Malin Nyman, Erika |
author_sort | Dahlin, Emma |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10567846 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-105678462023-10-13 Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study Dahlin, Emma Zimmerman, Malin Nyman, Erika Sci Rep Article 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. Nature Publishing Group UK 2023-10-11 /pmc/articles/PMC10567846/ /pubmed/37821445 http://dx.doi.org/10.1038/s41598-023-44027-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Dahlin, Emma Zimmerman, Malin Nyman, Erika Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
title | Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
title_full | Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
title_fullStr | Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
title_full_unstemmed | Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
title_short | Patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
title_sort | patient reported symptoms and disabilities before and after neuroma surgery: a register-based study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10567846/ https://www.ncbi.nlm.nih.gov/pubmed/37821445 http://dx.doi.org/10.1038/s41598-023-44027-4 |
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