20250225 Neuroma - Dr Zaid

Regarding neuroma formation

• A. Happen in sunderland grade 1

• B. Sunderland grade 3 nerve injury lead to stump neuroma

• C. Sunderland grade 5 nerve injury lead to neuroma incontinuity

• D. Due to failure of degeneration phase in nerve injury

• E. Disorganized fashion of axonal regeneration

MR Z sustained closed fracture distal end right radius,in which plating of distal end radius was done. 6 months later,he noticed right hand grip power is reduced associated with electric shooting pain to the thumb and index finger. MRI of right wrist showed median nerve neuroma.

Please choose the best treatment for him.

• A. Neuroma excision + nerve capping

• B. Neuroma excision + end to side neurorrhaphy

• C. Neuroma excision + allograft with relocation

• D. Neuroma excision + allograft reconstruction

• E. Neuroma excision + regenerative peripheral nerve interfaces (RPNI)

Mdm Z had right mid-forearm amputation done 3 months ago due to right hand necrotizing fasciitis during ICU stay for myocardiac infarction. She complained of electric shooting pain with pain score 3/10. Please advise the best management for her now,

Please advise the best management for her now

• A. Electric stimulation

• B. Gabapentin 300mg ON

• C. MRI contrast right forearm

• D. Exploration,KIV neurolysis,KIV neuroma excision with hollow tube reconstruction

• E. Exploration,KIV neurolysis,KIV neuroma excision with autograft reconstruction using vein conduit

Mr J was diagnosed with neuroma after disarticulation at the level of PIPJ of left index finger 6 months ago. Which treatment option could be offered?

• A. Neuroma excision + hollow tube reconstruction

• B. Tractional neurectomy

• C. Neuroma excision + muscle implantation

• D. Neuroma excision + targeted muscle reinnervation

• E. Neuroma excision + centro-central neurorraphy

Ms K was diagnosed with left carpal tunnel syndrome and nerve conduction study performed. What could be expected from her nerve conduction study result of median nerve

• A. Increased amplitude in sensory study

• B. Increased latency in sensory study

• C. Increased conduction velocity in sensory study

• D. Decreased latency in motor study

• E. Decreased latency in sensory study