Morton's interdigital neuroma of the foot A literature review

被引:48
|
作者
Di Caprio, Francesco [1 ]
Meringolo, Renato [1 ]
Eddine, Marwan Shehab [1 ]
Ponziani, Lorenzo [1 ]
机构
[1] Ceccarini Hosp, Operating Unit Orthoped & Traumatol, AUSL Romagna, I-47838 Riccione, Italy
关键词
Morton; Civinini; Interdigital neuroma; Metatarsalgia; EXTRACORPOREAL SHOCKWAVE THERAPY; SURGICAL-TREATMENT; CORTICOSTEROID INJECTION; ALCOHOL INJECTION; INTERMETATARSAL NEUROMA; RADIOFREQUENCY ABLATION; COMMUNICATING BRANCH; OPERATIVE TREATMENT; BOTULINUM TOXINS; FOLLOW-UP;
D O I
10.1016/j.fas.2017.01.007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Morton's neuroma is one of the most common causes of metatarsalgia. Despite this, it remains little studied, as the diagnosis is clinical with no reliable instrumental diagnostics, and each study may deal with incorrect diagnosis or inappropriate treatment, which are difficult to verify. The present literature review crosses all key points, from diagnosis to surgical and nonoperative treatment, and recurrences. Nonoperative treatment is successful in a limited percentage of cases, but it can be adequate in those who want to delay or avoid surgery. Dorsal or plantar approaches were described for surgical treatment, both with strengths and weaknesses that will be scanned. Failures are related to wrong diagnosis, wrong interspace, failure to divide the transverse metatarsal ligament, too distal resection of common plantar digital nerve, an association of tarsal tunnel syndrome and incomplete removal. A deep knowledge of the causes and presentation of failures is needed to surgically face recurrences. (C) 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:92 / 98
页数:7
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