Objective

To determine the epidemiology of neuroma formation as a complication following radiofrequency ablation for chronic pain conditions as well as reviewing the diagnosis and management of neuromas.

Design

Evidence-based narrative review and critical appraisal of literature.

Results

A comprehensive review of the literature generated one case report describing neuroma formation following lumbar facet medial branch radiofrequency denervation. The rare incidence may be explained by neuroma pathophysiology and peripheral nerve injury produced by radiofrequency ablation, in combination with its asymptomatic nature. Diagnosis of neuromas is predominantly confirmed by clinical history and physical exam with potential for nerve blocks or imaging. Ultrasound has been suggested as a primary imaging modality with magnetic resonance imaging as a secondary option. Neuroma management ranges from conservative therapy to surgery with varying success rates.

Conclusions

Neuroma formation following radiofrequency ablation procedures is exceedingly rare and could be a hypothetical concern in clinical practice. However, the true incidence may be inaccurate given the asymptomatic nature of neuromas.

中文翻译：

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射频消融治疗后神经瘤的发病率、诊断和管理：叙述性评论

客观的

确定作为慢性疼痛疾病射频消融术后并发症的神经瘤形成的流行病学，以及审查神经瘤的诊断和管理。

设计

以证据为基础的叙事评论和文献批判性评价。

结果

对文献的综合回顾产生了一个病例报告，描述了腰椎小关节内侧支射频去神经支配后神经瘤的形成。罕见的发病率可能是由神经瘤病理生理学和射频消融引起的周围神经损伤及其无症状性质来解释的。神经瘤的诊断主要通过临床病史和体格检查以及神经阻滞或影像学检查来确诊。已经建议将超声作为主要成像方式，而将磁共振成像作为次要选项。神经瘤的治疗范围从保守治疗到手术成功率各不相同。

结论

射频消融手术后的神经瘤形成极为罕见，可能是临床实践中的一个假设问题。然而，考虑到神经瘤的无症状性质，真实发生率可能不准确。