Reverse fasciocutaneous forearm flaps are effective in treating incapacitating neuromas in the hand

Treatment of neuromas of the large nerves in the hand with or without post- traumatic dystrophy remains difficult. As a hypothesis, sufficient cover of the painful area should decrease the influence of pressure on neuromas, co pe with the dystrophic condition and therefore improve function and quality of life. In ten consecutive patients suffering from incapacitating complai nts after one or more interventions for treatment of painful neuromas a rev erse fasciocutaneous flap was transposed to the area involved. Over all, pa tients considered the operation to be a breakthrough in their chronic pain situation. A positive benefit was obtained with respect to dystrophic sympt oms, use of the hand and quality of life. The procedure can be an important step in the rehabilitation process.