Evidence map›Paper›PMID 41867329›Full record

ArticlePlastic and reconstructive surgery. Global open2026

Postoperative Imaging Characteristics of Targeted Muscle Reinnervation and Regenerative Peripheral Nerve Interfaces.

Amir-Ala Mahmoud, Reinhard Knerr, Marco Ferrone, Jacob C Mandell, Lydia A Helliwell

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Amir-Ala MahmoudFrom the Division of Plastic and Reconstructive Surgery, Harvard Medical School, Boston, MA.
Reinhard KnerrFrom the Division of Plastic and Reconstructive Surgery, Harvard Medical School, Boston, MA.
Marco FerroneDepartment of Orthopedic Surgery, Mass General Brigham, Boston, MA.
Jacob C MandellDepartment of Radiology, Mass General Brigham, Boston, MA.
Lydia A HelliwellDivision of Plastic and Reconstructive Surgery, Mass General Brigham, Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI) procedures can mitigate the incidence of neuroma; however, neuromas may still form. Interval soft tissue changes at the site of these nerve constructs may pose a diagnostic challenge. This review examined existing literature on ultrasound (US) and magnetic resonance imaging (MRI) characteristics of TMR and RPNI to aid in their identification. Methods: A literature review was conducted using the PubMed, Embase, Cochrane, and Web of Science databases following the preferred reporting items for systematic reviews and meta-analyses 2020 protocol to examine studies describing imaging characteristics of TMR and RPNI in humans. Studies were screened by 2 authors. Studies that described imaging characteristics of TMR and RPNI were included. Results: The review yielded 623 articles. Ten articles were identified for full-text review, and 4 met the inclusion criteria. One article described the US appearance of TMR. Two articles described the US characteristics of RPNI. One article described the appearance of RPNI on MRI. A total of 44 patients, 70 RPNIs, and 6 TMRs were included. Conclusions: The characterization of TMR and RPNI on US and MRI is limited, particularly regarding upper extremity TMR and RPNI. TMR and RPNI demonstrate consistent core features on US and MRI. When monitoring patients for pain postamputation, plastic surgeons should be aware of the expected changes to the nerve and surrounding soft tissues after TMR and RPNI to aid in clinical judgment of new soft tissue lesions identified on imaging after amputation.

Identifiers

PMID41867329
PMCPMC13002149

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