Evidence map›Paper›PMID 37857991›Full record

ReviewDer Nervenarzt2023

[Diagnostics and surgical treatment of painful neuromas].

Jonas Kolbenschlag, C Prahm, H Hurth, A Grimm, M Schuhmann, N Winter, A Daigeler, J Heinzel

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Der Nervenarzt, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jonas KolbenschlagKlinik für Hand‑, Plastische, Rekonstruktive und Verbrennungschirurgie, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland. jkolbenschlag@bgu-tuebingen.de.
C PrahmKlinik für Hand‑, Plastische, Rekonstruktive und Verbrennungschirurgie, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
H HurthKlinik für Neurochirurgie am Universitätsklinikum Tübingen, Eberhard Karls Universität Tübingen, Tübingen, Deutschland.
A GrimmKlinik für Neurologie am Universitätsklinikum Tübingen, Eberhard Karls Universität Tübingen, Tübingen, Deutschland.
M SchuhmannKlinik für Neurochirurgie am Universitätsklinikum Tübingen, Eberhard Karls Universität Tübingen, Tübingen, Deutschland.
N WinterKlinik für Neurologie am Universitätsklinikum Tübingen, Eberhard Karls Universität Tübingen, Tübingen, Deutschland.
A DaigelerKlinik für Hand‑, Plastische, Rekonstruktive und Verbrennungschirurgie, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
J HeinzelKlinik für Hand‑, Plastische, Rekonstruktive und Verbrennungschirurgie, BG Klinik Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
BG Klinik Tübingen · DEUniversity of Tübingen · DEUniversitätsklinikum Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPainful neuromas that often develop after peripheral nerve injury require adequate diagnosis and treatment because of the suffering they cause. The scientific basis for the development of painful neuromas has not yet been sufficiently investigated. In addition to conservative procedures, a larger number of surgical techniques are available for treatment of painful neuromas.

objectiveA review of the basic principles, diagnostic and treatment options for painful neuromas. MATERIAL AND

methodsPresentation of the scientific basis regarding the development of painful neuromas. Illustration and discussion of the most common diagnostic and treatment procedures.

resultsThe scientific basis regarding the development of painful neuromas after peripheral nerve injury has not yet been adequately developed. In order to be able to make a correct diagnosis, the use of standardized diagnostic criteria and adequate imaging techniques are recommended. In the sense of a paradigm shift, the use of the formerly neuroma-bearing nerve for reinnervation of target organs is to be preferred over mere burying in adjacent tissue.

conclusionIn addition to standardized diagnostics the management of painful neuromas often requires a surgical intervention after all conservative therapeutic measures have been exhausted. As an alternative to restoring the continuity of the injured nerve, targeted reinnervation of electively denervated target organs by the formerly neuroma-bearing nerve is preferable over other techniques.

Indexed as

NeuromaPeripheral Nerve InjuriesHumansPainConservative proceduresImagingPeripheral nerve injuryReinnervationSurgical techniques

Identifiers

PMID37857991
OpenAlexW4387772420

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.