Rheumatoid nodule presenting as Morton's neuroma

被引:10
作者
Chaganti S. [1 ,2 ]
Joshy S. [1 ]
Hariharan K. [1 ]
Rashid M. [3 ]
机构
[1] Department of Orthopaedics, Royal Gwent Hospital, Newport
[2] Derriford Hospital, Plymouth PL6 3UQ
[3] Department of Histopathology, Royal Gwent Hospital, Newport
关键词
Forefoot pain; Intermetatarsal neuroma; Morton's neuroma; Rheumatoid nodule; Rheumatoid synovitis;
D O I
10.1007/s10195-012-0215-x
中图分类号
学科分类号
摘要
Among 101 feet that presented with symptoms and signs similar to Morton's neuroma, intermetatarsal rheumatoid nodules were found in five feet (three patients). Two patients had bilateral involvement. Histology of the excised tissue showed the presence of a rheumatoid nodule and Morton's neuroma in four feet and a rheumatoid nodule with unremarkable nerve bundles in one. A rheumatoid nodule can coexist with Morton's neuroma, as seen in our patients, and the presentation is often similar to that of a Morton's neuroma. Our patients were rendered asymptomatic with surgical treatment and went on to have appropriate management of rheumatoid arthritis. Rheumatoid nodule should be considered in the differential diagnosis of Morton's neuroma in not only rheumatoid arthritis patients but also asymptomatic patients who have never been tested for rheumatoid antibodies. © The Author(s) 2013.
引用
收藏
页码:219 / 222
页数:3
相关论文
共 10 条
[1]  
Awerbuch M.S., Shephard E., Vernon-Roberts B., Morton's metatarsalgia due to Intermetatarsophalangeal bursitis as an early manifestation of rheumatoid arthritis, Clin Orthop Relat Res, 167, pp. 214-221, (1982)
[2]  
Greenfield J., Rea Jr. J., Ilfeld F.W., Morton's interdigital neuroma. Indications for treatment by local injections versus surgery, Clin Orthop Relat Res, 185, pp. 142-144, (1984)
[3]  
Higgins K.R., Burnett D.E., Krych S.M., Et al., Seronegative rheumatoid arthritis and Morton's neuroma, J Foot Surg, 27, (1988)
[4]  
Hughes R.J., Ali K., Jones H., Kendall S., Connell D.A., Treatment of Morton's neuroma with alcohol injection under sonographic guidance: Follow-up of 101 cases, AJR Am J Roentgenol, 188, 6, pp. 1535-1539, (2007)
[5]  
Ritaman V., Vainio K., Mortan's metatarsalgia in rheumatoid arthritis, Ann Chir Gynaecol (Fenn.), 45, (1956)
[6]  
Ruuskanen M.M., Niinimaki T., Jalovaara P., Results of the surgical treatment of Morton's neuralgia in 58 operated intermetatarsal spaces followed over 6 (2-12) years, Arch Orthop Trauma Surg, 113, 2, pp. 78-80, (1994)
[7]  
Sharp R.J., Wade C.M., Hennessy M.S., Saxby T.S., The role of MRI and ultrasound imaging in Morton's neuroma and the effect of size of lesion on symptoms, J Bone Joint Surg Br, 85, 7, pp. 999-1005, (2003)
[8]  
Thomson C.E., Gibson J.N., Martin D., Interventions for the treatment of Morton's neuroma, Cochrane Database Syst Rev 3:CD003118, (2004)
[9]  
Vainio K., Mortan's metatarsalgia in rheumatoid arthritis, Clin Orthop Relat Res, 142, pp. 85-89, (1979)
[10]  
Wu K.K., Morton's interdigital neuroma: A clinical review of its etiology, treatment, and results, J Foot Ankle Surg, 35, 2, pp. 112-119, (1996)