Search Our Scientific Publications & Authors

Acta Biomed 2020 May 30;91(4-S):60-68. Epub 2020 May 30.

Orthopaedic Clinic, Department of Surgical Sciences (DISC), University of Genoa, Ospedale Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.

Civinini Morton's Syndrome (CMS), better known as Morton's Neuroma, is a benign enlargement that typically affects the third common digital branch of the plantar nerve. It is a common cause of metatarsalgia leading to debilitating pain. It prefers the female gender, with a female to male ratio of 5:1 and an average age of 50 years at time of surgery. Read More

J Foot Ankle Surg 2020 May - Jun;59(3):457-461

Assistant Professor, Exercise Physiology, Kent State University, Kent, OH.

Mechanical compression of interdigital nerves beneath the deep transverse intermetatarsal ligament and between the metatarsal heads leads to painful irritation and possible fibrosis. Conservative measures of padding and injections often fail to provide long-term relief. Surgical excision provides definitive relief, but the procedure is not without risk. Read More

J Plast Reconstr Aesthet Surg 2020 Jun 5;73(6):1105-1106. Epub 2020 Mar 5.

Department of Neurologic Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, US. Electronic address:

J Plast Reconstr Aesthet Surg 2020 Jun 22;73(6):1099-1104. Epub 2020 Jan 22.

Department of Plastic, Aesthetic and Reconstructive Surgery, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria. Electronic address:

Background: First reported by Dellon et al. in 1992, nerve decompression by dissecting the deep transversal intermetatarsal ligament through a dorsal incision appears to be a reliable method for treating Morton's neuroma by addressing its underlying pathomechanism, since it should rather be considered as Morton's entrapment. As there are no current studies dealing with Dellon's surgical technique, we carried out a retrospective analysis with the aim of showing that nerve decompression is an effective method to treat Morton's neuroma, and one that considers its true pathology. Read More

Pain Ther 2020 Jun 27;9(1):145-160. Epub 2020 Feb 27.

Creighton University School of Medicine, Phoenix Regional Campus, Phoenix, AZ, USA.

Purpose Of Review: This is a comprehensive literature review of the available evidence and techniques of foot injections for chronic pain conditions. It briefly describes common foot chronic pain syndromes and then reviews available injection techniques for each of these syndromes, weighing the available evidence and comparing the available approaches.

Recent Findings: Foot and ankle pain affects 20% of the population over 50 and significantly impairs mobility and ability to participate in activities of daily living (ADLs), as well as increases fall risk. Read More

Foot Ankle Surg 2019 Nov 2. Epub 2019 Nov 2.

Trauma & Orthopaedic Surgery, University Hospitals of Leicester, Leicester, LE1 5WW, United Kingdom.

Title: Non-surgical treatment for Morton's neuroma: a systematic review.

Background: Morton's neuroma (MN) is an entrapment degenerative neuropathy with a strong predilection for the 3rd interdigital web space. The objective of our study was to identify the most significant evidence produced for the non-operative treatment of Morton's neuroma and assess outcomes of these interventions. Read More

Can Assoc Radiol J 2019 Nov;70(4):408-415

Department of Radiology, UZ Brussel, Brussels, Belgium. Electronic address:

Various conditions may result in forefoot pain. Magnetic resonance (MR) imaging allows accurate assessment of many of these conditions. We provide an overview of forefoot disorders divided into bones, capsule and plantar plate, musculotendinous structures, neurovascular structures, and subcutaneous tissue. Read More

Clin Rehabil 2019 Dec 11;33(12):1898-1907. Epub 2019 Sep 11.

Escola Paulista de Medicina (EPM), Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, Brazil.

Objective: To assess the effectiveness of customized insole in patients with Morton's neuroma.

Design: Double-blind randomized controlled trial with intent-to-treat analysis.

Setting: Outpatients, University Hospital. Read More

Clin Radiol 2019 Oct 10;74(10):815.e9-815.e13. Epub 2019 Aug 10.

Department of Radiology, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, B15 2WB, UK. Electronic address:

Aim: To assess the efficacy and safety of ultrasound-guided radiofrequency ablation (RFA) for treatment of symptomatic Morton's neuroma.

Materials And Methods: Patients with symptomatic Morton's neuroma of the foot were referred for treatment with RFA, prior to consideration for surgery. All neuromas were proven by ultrasound imaging and had a trial of conservative management including orthotic support and/or steroid injections. Read More

Emerg Med J 2019 Jun;36(6):363-381

Emergency Department, Maine Medical Center, Portland, Maine, USA.

Foot Ankle Int 2019 Sep 29;40(9):1032-1036. Epub 2019 May 29.

1 Rothman Orthopaedic Institute, Philadelphia, PA, USA.

Background: Recent studies have demonstrated that clinical diagnosis of Morton's neuroma is highly correlated with operative and histopathologic diagnosis, whereas others have questioned the cost-effectiveness of intraoperative histopathology of excised specimens. The purpose of this study was to determine the utility of both preoperative imaging and intraoperative histology in the treatment of Morton's neuroma in making an accurate diagnosis, guiding treatment decisions, and altering clinical outcomes.

Methods: A retrospective review was performed on all patients who underwent operative resection suspected Morton's neuroma with 4 fellowship-trained foot and ankle surgeons between 2007 and 2017. Read More

J Foot Ankle Res 2019 13;12:12. Epub 2019 Feb 13.

5Menzies Health Institute Queensland, Griffith University, Nathan, Brisbane, QLD 4111 Australia.

Background: Morton's neuroma (MN) is a compressive neuropathy of the common plantar digital nerve. It is a common compressive neuropathy often causing significant pain which limits footwear choices and weight bearing activities. This paper aims to review non-surgical interventions for MN, to evaluate the evidence base for the clinical management of MN. Read More

J Ultrasound Med 2019 Sep 7;38(9):2341-2345. Epub 2019 Jan 7.

Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, Korea.

Objectives: Sonography is often used for analysis of Morton neuromas, but the measurement reliability is unknown. The aim of this study was to determine the intra- and interobserver reliability and precision of sonographic measurement of Morton neuromas.

Methods: Three observers with different levels of sonography experience (observer A, expert; observer B, intermediate; observer C, beginner) performed repeated measurements of the size of Morton's neuroma in 20 patients. Read More

Orthopedics 2019 Jan 13;42(1):e138-e143. Epub 2018 Dec 13.

Metatarsalgia can be viewed as more of a symptom rather than a distinct diagnosis. Timing of forefoot pain during the gait cycle and evaluation of whether the pain is from anatomic abnormalities, indirect overloading, or iatrogenic causes can suggest a specific metatarsalgia etiology. A thorough physical examination of the lower extremity, especially evaluation of the plantar foot, and weight-bearing radiographs are critical for diagnosis and treatment. Read More

Foot Ankle Surg 2019 Dec 5;25(6):748-754. Epub 2018 Oct 5.

Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.

Background: The purpose of this study was to investigate and compare the clinical outcomes of dorsal suspension with those of neurectomy for the treatment of Morton's neuroma.

Methods: We conducted a retrospective study of dorsal suspension and neurectomy group. The dorsal suspension was performed by dorsal transposition of neuroma over the dorsal transverse ligament after neurolysis. Read More

Radiol Clin North Am 2018 Nov;56(6):877-892

Department of Radiology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address:

Although causes of metatarsalgia are multifactorial, in practice these most commonly include osseous stress reaction or fracture (including subchondral injury) and interdigital neuroma or plantar plate tear with adjacent pseudoneuroma. The various roles of radiography, ultrasonography, and MR imaging are discussed, and relevant technical issues and imaging findings are reviewed in order to facilitate accurate diagnosis and guide proper treatment of metatarsalgia. Read More

J Ultrasound Med 2019 Apr 23;38(4):1009-1014. Epub 2018 Sep 23.

Department of Orthopedic Surgery, Korea University Guro Hospital, Seoul, South Korea.

Objectives: This study aims to evaluate the clinical importance of intermetatarsal distance, size of neuroma, and proportion of neuroma in the intermetatarsal space in examinations of Morton neuroma using ultrasonography.

Methods: Clinical prognosis was observed prospectively after corticosteroid injections in 136 patients with Morton neuroma, and the results were compared with ultrasonographic parameters of intermetatarsal distance, size of neuroma, and proportion of neuroma in the intermetatarsal space.

Results: Twenty-one patients (15%) did not respond to corticosteroid injections and underwent surgical treatment for Morton neuroma. Read More

Foot Ankle Spec 2019 Jun 15;12(3):272-277. Epub 2018 Aug 15.

University of Alabama at Birmingham School of Medicine, Birmingham, Alabama.

Background: When using a dorsal approach for Morton's neuroma excision, the most common complication is recurrent Morton's neuroma. The present cadaveric study demonstrates how far proximally the nerve is resected during a dorsal approach and examines both the laminar spreader and Gelpiretractor to determine which instrument facilitates maximal proximal resection of the nerve.

Methods: This study involved 12 fresh-frozen cadaver specimens, each of which underwent a dorsal approach to the interdigital nerve with proximal resection. Read More

Eur Radiol 2019 Feb 31;29(2):620-627. Epub 2018 Jul 31.

Department of Radiology, Traumatology Hospital (University Hospital Virgen de las Nieves), C-Julio Verne 8, 7 B, 18003, Granada, Spain.

Objective: The aim of this work is to compare the effectiveness of blind and ultrasound-guided injection for Morton's neuroma (MN) to determine which is more appropriate as the initial procedure in conservative treatment.

Methods: This is an evaluator-blinded randomised trial. Of the 56 included patients, 27 were assigned to the blind group (A) and 29 to the ultrasound-guided group (B). Read More

Cureus 2018 May 14;10(5):e2620. Epub 2018 May 14.

Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, USA.

Non-infectious soft tissue lesions of the foot and ankle are relatively rare clinically. These include benign and malignant neoplasms, as well as non-neoplastic or pseudotumoral lesions such as ganglionic, synovial and epidermoid cysts, intermetatarsal and adventitious bursitis, inflammatory lesions like gouty tophi and rheumatoid nodules, Morton's neuroma, and granuloma annulare. A 48-year-old male with a history of medically treated tophaceous gout presented with left foot neuropathic pain and paresthesia, in the setting of a well-circumscribed soft tissue lesion of the second intermetatarsal space, suspected to be a Morton's neuroma. Read More

J Foot Ankle Surg 2018 Sep - Oct;57(5):870-875. Epub 2018 May 18.

Radiologist, Unità Operativa di Radiologia, Ospedale Civile di Cittadella (Padova), Cittadella, Padova, Italy.

Although many treatment modalities are available for Morton's neuroma, the injection of the neuroma with alcohol has gained popularity. However, recently, some investigators have observed a progressive deterioration in pain scores for patients initially pain free after the treatment. The purpose of the present retrospective comparative study was to determine whether mechanical metatarsalgia is related to symptom recurrence. Read More

Foot (Edinb) 2018 Jun 28;35:36-47. Epub 2017 Dec 28.

The University of Newcastle, School of Health Sciences, Faculty of Health and Medicine, Health Precinct, BE154, P.O. Box 127, Ourimbah, NSW, 2258, Australia. Electronic address:

An intermetatarsal neuroma is a plantar digital neuritis causing metatarsalgia of the affected inter-metatarsal space. At present the evidence to support the management of the condition is poor with only some quality evidence supporting the short-term management of intermetatarsal neuromas using steroid injections. Some authors have supported the use of alcohol sclerosing intra-lesional injections to treat intermetatarsal neuromas. Read More

Foot Ankle Int 2018 07 11;39(7):829-835. Epub 2018 Apr 11.

1 School of Allied Health, Podiatric Medicine and Surgery Division, The University of Western Australia, Crawley, Australia.

Background: The purpose of this research was to see if there were any differences in peak pressure, contact time, pressure-time integrals, and geometric variables such as forefoot width, foot length, coefficient of spreading, and arch index between subjects with Morton's neuroma (MN) and control subjects.

Methods: Dynamic peak plantar pressure, contact time, pressure-time integral, and geometric data were extracted using the EMED-X platform in 52 subjects with MN and 31 control subjects. Differences in peak pressure, contact time, pressure-time integral, and geometric data between participants with and those without MN were determined using independent-samples t tests. Read More

J Am Podiatr Med Assoc 2018 Mar;108(2):182-185

Lipofibromatous hamartoma (LFH) is a rare, benign, tumor-like soft-tissue lesion that affects the peripheral nerves and forms a palpable neurogenic mass. Lipofibromatous hamartoma is associated with pain and sensory and/or motor deficits in the area of innervation of the affected nerve. This report describes a rare case of LFH of the plantar nerve. Read More

AJR Am J Roentgenol 2018 Apr 22;210(4):821-833. Epub 2018 Feb 22.

2 Department of Radiology, Royal Liverpool & Broadgreen University Hospital NHS Trust, Liverpool, United Kingdom.

Objective: Central metatarsalgia relates to abnormalities of the second, third, and fourth metatarsals and their respective metatarsophalangeal joints. A variety of disorders present with central forefoot pain; they range from traumatic lesions (acute or chronic repetitive), inflammatory and infective disorders, nonneoplastic soft-tissue lesions, and benign tumors to malignant lesions. Patients often present with symptoms of localized pain in the forefoot that worsens on weight bearing (walking or running), which can be sharp or dull and often is perceived as a lump felt inside or underneath the foot and described as walking on a marble or pebbles. Read More

Foot Ankle Surg 2018 Aug 5;24(4):271-281. Epub 2017 Apr 5.

Clinica Luganese Moncucco, Via Moncucco 10, Lugano, Switzerland.

Background: The treatment of Morton's neuroma (MN) can be operative, conservative and infiltrative. Our aim was the evaluation of evidence on outcomes with different types of conservative, infiltrative and surgical treatment in patients affected by primary MN.

Methods: The bibliographic search was conducted in MEDLINE, Cochrane Library, DARE. Read More

Foot Ankle Surg 2018 Apr 4;24(2):92-98. Epub 2017 Feb 4.

Operating Unit of Orthopedics and Traumatology, AUSL of Romagna, Ceccarini Hospital, Riccione 47838, Italy.

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. Read More

FP Essent 2018 Feb;465:30-34

University of Florida College of Medicine, PO Box 100237, Gainesville, FL 32610-0237

The midfoot and forefoot are the regions of the foot distal to the talus and calcaneus and are critical to weight bearing and movement. They help support the arch of the foot, provide shock absorption, and convert vertically oriented forces into horizontal forward and propulsive movement. A spectrum of acute, subacute, and chronic conditions in these regions can cause pain and decreased function. Read More

Int Orthop 2018 02 12;42(2):323-329. Epub 2017 Dec 12.

Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, South Korea.

Background: Understanding the risk factors that predict the prognosis of Morton's neuroma after corticosteroid injection would help clinicians determine the appropriate treatment protocol. However, the cut-off values for the risk factors are unknown. The aim of this study was to identify the risk factors and cut-off values that predict failure of corticosteroid injection in treatment of Morton's neuroma. Read More

Acta Ortop Mex 2017 May-Jun;31(3):113-117

Hospital Ángeles Mocel. Gelati Núm. 29, Col. San Miguel Chapultepec, CP 11850, Miguel Hidalgo, Ciudad de México. México.

Background: The purpose of this paper is to assess pain, function and complications after decompression of Mortons neuroma using a minimally invasive dorsal approach.

Method And Results: 16 patients who underwent 19 decompressions were followed-up for 18 months. Pain was assessed with the visual analog scale (VAS), and function was assessed with the American Orthopedic Foot and Ankle Society (AOFAS) scale. Read More

Indian J Orthop 2017 Nov-Dec;51(6):692-696

Department of Orthopedic Surgery, Busan Paik Hospital, College of Medicine, Inje University, Seo-gu, Busan, Korea.

Background: Morton's neuroma is a common cause of metatarsalgia and many treatments had been described in literature. However, there have been only a few reports that treat the neuroma with an osteotomy on the proximal, not distal portion of the metatarsal bone using a plate. This study describes the clinical outcome of sliding osteotomy on the proximal metatarsal bone for the treatment of Morton's neuroma. Read More

Foot Ankle Int 2018 02 20;39(2):201-204. Epub 2017 Nov 20.

2 Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.

Background: Morton's neuroma is one of the common causes of forefoot pain. In the present study, hyaluronic acid injection was performed on patients to determine the efficacy and adverse effects of hyaluronic acid in management of Morton's neuroma.

Methods: Eighty-three patients with Morton's neuroma in their third intermetatarsal space with definite Mulder's click were included in the study. Read More

J Foot Ankle Surg 2018 Mar - Apr;57(2):388-392. Epub 2017 Nov 3.

Associate Professor, Department of Pathology, University of Notre Dame, Fremantle, WA, Australia.

Synovial sarcoma is a rare occurrence in the lower extremity, although the presenting symptoms can mimic those of other more common and benign musculoskeletal pathologies. We present the case of a patient who was originally thought to have a Morton's neuroma or ganglionic cyst. The correct diagnosis, synovial sarcoma, was determined only after an unplanned excision. Read More

Foot Ankle Spec 2018 Aug 19;11(4):342-346. Epub 2017 Oct 19.

Grant Medical Center, Columbus, Ohio (NP).

Background: In the dorsal incisional approach for Morton's neuroma, it is required to transect the deep transverse metatarsal ligament (DTML) that lies in the interspace between the third and fourth metatarsal heads. The purpose of this study was to evaluate the relationship between transection of the DTML in the third intermetatarsal space and the metatarsal alignment.

Methods: Nine human cadaveric lower extremity limbs were used for this study. Read More

Cardiovasc Intervent Radiol 2018 Jan 27;41(1):137-144. Epub 2017 Sep 27.

Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiation Therapy, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.

Purpose: Morton's neuroma (MN) is a leading cause of disability. The purpose of this study was to investigate the effectiveness of radiofrequency (RF) in patients with chronic pain refractory to conservative therapies.

Methods: Between September 2012 and December 2016, RF was performed on 52 patients. Read More

Foot Ankle Int 2017 Sep 15;38(9):944-951. Epub 2017 Jun 15.

6 Department of Orthopaedic Surgery, Consorci Sanitari de l'Anoia, Hospital d'Igualada, Igualada, Spain.

Background: The effectiveness of corticosteroid injection for the treatment of Morton's neuroma is unclear. In addition, most of the studies related to it are case-control or retrospective case series. The purpose of this study was to compare the effectiveness between corticosteroid injection associated with local anesthetic and local anesthetic alone (placebo control group) for the treatment of Morton's neuroma. Read More

Foot Ankle Spec 2018 Apr 17;11(2):107-111. Epub 2017 May 17.

Orthopaedic Department, Cairns Base Hospital, Cairns, Queensland, Australia.

Background: Morton's neuroma is a common cause of forefoot pain. Outcomes of conservative therapy are mixed and many patients undergo operative intervention. Radiofrequency ablation has recently gained favor as a treatment option, although the optimal regime is unknown. Read More

Bone Joint J 2017 Mar;99-B(3):365-368

Korea University Guro Hospital, Department of Orthopaedic Surgery, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Korea.

Aims: Morton's neuroma is common condition of the forefoot, but its aetiology remains unclear. Our aim was to evaluate the relationship between the width of the forefoot and the development of a Morton's neuroma.

Patients And Methods: Between January 2013 and May 2016, a total of 84 consecutive patients (17 men, 67 women) with a unilateral Morton's neuroma were enrolled into the study. Read More

Foot Ankle Spec 2017 Dec 28;10(6):520-523. Epub 2016 Dec 28.

Department of Trauma & Orthopaedic Surgery, Kingston Hospital NHS Foundation Trust, London, UK.

Background: Interdigital neuroma (IN), otherwise known as Morton's neuroma, is a common cause of metatarsalgia presenting to the elective foot and ankle clinic. Surgical excision of the IN in patients who fail to respond to nonoperative measures is considered to be the gold standard of care in many centers. The Royal College of Pathologists UK recommend that all excised interdigital Morton's neuromas are sent for formal histopathological analysis. Read More

Semin Musculoskelet Radiol 2016 Nov 21;20(5):453-460. Epub 2016 Dec 21.

Department of Health Sciences (DISSAL), University of Genova, Genoa, Italy.

This article is a practical review update on ultrasound (US)-guided interventional procedures on peripheral nerves. Technical considerations, biopsy techniques, and some examples of injections are described. US is considered a safe imaging guidance for interventional procedures, due to its high spatial resolution and the possibility to image the needle and inject drugs in real time. Read More

Ochsner J 2016 ;16(4):471-474

Department of Orthopedic Surgery, Ochsner Clinic Foundation, New Orleans, LA.

Background: Morton neuroma is a compressive neuropathy of the plantar digital nerve. Several surgical approaches have been used to treat painful Morton neuroma, with each approach having distinct advantages and disadvantages. For this study, we used validated outcome assessment tools to retrospectively compare patient satisfaction with 2 approaches. Read More

J Foot Ankle Res 2016 1;9:46. Epub 2016 Dec 1.

School of Surgery, Podiatric Medicine Unit M422, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009 Australia.

Background: The main purpose of this study was to investigate the presence of an association between intermetatarsal neuroma and foot type, as measured by the Foot Posture Index. The study also examined whether there was a relationship between foot type and the interspace affected with intermetatarsal neuroma, and whether ankle equinus or body mass index had an effect.

Methods: In total, 100 participants were recruited from The University of Western Australia's Podiatry Clinic, 68 of whom were diagnosed with inter-metatarsal neuroma from 2009 to 2015. Read More

MMW Fortschr Med 2016 Dec;158(21-22):60-62

Muskuloskelettales Zentrum Klinikum Neumarkt, Nürnberger Str. 12, D-92318, Neumarkt i. d. OPf., Deutschland.

AJR Am J Roentgenol 2017 Feb 29;208(2):380-385. Epub 2016 Nov 29.

1 Department of Medical Imaging, University of Arizona Health Sciences Center, 1501 N Campbell Ave, Tucson, AZ 85724.

Objective: The objective of our study was to retrospectively assess for differences in imaging appearances of Morton neuromas before and after laser therapy using diagnostic ultrasound (US).

Materials And Methods: A retrospective review was performed to identify patients who underwent US imaging to evaluate for Morton neuroma during the study period (June 1, 2013-July 1, 2014); of the 42 patients identified, 21 underwent US evaluations before and after laser therapy. US reports and images were reviewed and correlated with clinical history. Read More

Magn Reson Imaging Clin N Am 2017 Feb;25(1):195-209

Department of Radiology, New England Baptist Hospital, Tufts University School of Medicine, 125 Parker Hill Avenue, Boston, MA 02120, USA.

MR imaging has an important role in the evaluation of the postoperative foot and ankle. In this article, a variety of operative techniques and postoperative findings in the foot and ankle are described, including tendon and ligament reconstruction, as well as the treatment of tarsal coalition and Morton neuroma. The role of MR imaging in the assessment of complications of foot and ankle surgery is also detailed. Read More

Foot Ankle Int 2017 Mar 13;38(3):310-317. Epub 2016 Nov 13.

1 Podiatric Medicine Unit M422, School of Surgery, University of Western Australia, Crawley, Western Australia, Australia.

Background: The aim of this research was to investigate the association of various structural measurements of the forefoot with Morton's neuroma (MN).

Methods: Weightbearing anteroposterior and lateral foot radiographs of subjects attending the University of Western Australia (UWA) Podiatry Clinic and the first author's private practice were included in this study. A single assessor measured the following angles: lateral intermetatarsal angle (LIMA), intermetatarsal angle (IMA), hallux valgus angle (HVA), digital divergence between the second and third digits (DD23), digital divergence between the third and fourth digits (DD34) and relative metatarsal lengths of the first to fifth metatarsals (Met1-5), and the effect of MN size as measured by ultrasonograph on digital divergence. Read More

Radiographics 2016 Oct;36(6):1828-1848

From the Department of Radiology, Florida Hospital, 601 E Rollins St, Orlando, FL 32803 (G.M.L., K.F.S., D.R.W., C.W.W., C.R.P., L.W.B.); Department of Radiology, University of Washington, Seattle, Wash (M.L.R., J.A.P.); Department of Podiatry, University of Central Florida, Orlando, Fla (G.L.); and Department of Podiatry, Florida Foot and Ankle Specialist, Lake Mary, Fla (C.C.M.).

A variety of surgical procedures exist for repair of both traumatic and degenerative osseous and soft-tissue pathologic conditions involving the foot and ankle. It is necessary for the radiologist to be familiar with these surgical procedures, so as to assess structural integrity, evaluate for complicating features, and avoid diagnostic pitfalls. Adequate interpretation of postoperative changes often requires access to surgical documentation to evaluate not only the surgery itself but the expected timeline for resolution of normal postoperative changes versus progressive disease. Read More

Bone Joint J 2016 Oct;98-B(10):1376-1381

Royal Infirmary of Edinburgh, Little France Crescent, Old Dalkeith Road, Edinburgh EH16 4SA, UK.

Aims: This is the first prospective study to report the pre- and post-operative patient reported outcomes and satisfaction scores following excision of interdigital Morton's neuroma.

Patients And Methods: Between May 2006 and April 2013, we prospectively studied 99 consecutive patients (111 feet) who were to undergo excision of a Morton's neuroma. There were 78 women and 21 men with a mean age at the time of surgery of 56 years (22 to 78). Read More