Psychogenic “Jumpy Stump”

Abstract

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Jumpy stump syndrome treated by targeted muscle reinnervation (TMR): a case report and review of the literature

“…7 This patient was also depressed with suicidal ideation. 7 Parashar presented a 14-year-old male above the knee amputee who developed involuntary jerky stump movements two years after amputation. 8 The patient showed symptoms of anxiety and depression associated with his severe stump pain and jerky movements of his stump.…”

“…It has been conjectured that this movement disorder is caused by peripheral nerve damage associated with amputation and neuroma formation, but others have suggested that this may be a form of spinal myoclonus or conversion disorder associated with psychological or emotional trauma. 2,[5][6][7][8] In this paper, we will present a review of the current literature on etiology and treatment modalities for "jumpy stump syndrome", as well as our own experience with this unusual problem and our unique treatment approach.…”

“…Physical examination of the stump resulted in sudden, rhythmic convulsions of the amputated limb as well as powerful contractions of the hamstrings and quadriceps which occurred when the patient was excited, but ceased upon distraction 6 . Davis et al described a below the knee amputee whose leg tremors varied and at times ceased during mental distraction 7 . This patient was also depressed with suicidal ideation 7 .…”

“…Davis et al described a below the knee amputee whose leg tremors varied and at times ceased during mental distraction 7 . This patient was also depressed with suicidal ideation 7 . Parashar presented a 14-year-old male above the knee amputee who developed involuntary jerky stump movements two years after amputation 8 .…”