161 results match your criteria Morton Neuroma


Corticosteroid Injection for Morton's Interdigital Neuroma: A Systematic Review.

Clin Orthop Surg 2021 Jun 22;13(2):266-277. Epub 2021 Apr 22.

Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Backgroud: This review aimed to evaluate the effects of corticosteroid injections on Morton's neuroma using an algorithmic approach to assess the methodological quality of reported studies using a structured critical framework.

Methods: Several electronic databases were searched for articles published until April 2020 that evaluated the outcomes of corticosteroid injections in patients diagnosed with Morton's neuroma. Data search, extraction, analysis, and quality assessments were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Read More

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Schwannoma of the First Webspace: A Case Report.

JBJS Case Connect 2021 05 20;11(2). Epub 2021 May 20.

Orthopaedic Surgeon, Department of Orthopaedic Surgery, Hospital Dr. José de Almeida, Cascais, Portugal.

Case: A 65-year-old man presented with plantar foot pain associated with a mass in the first webspace. A Morton neuroma was considered the probable diagnosis. Despite nonoperative treatment the pain continued. Read More

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Common Complaints of the Hands and Feet.

Med Clin North Am 2021 Jan 7;105(1):187-197. Epub 2020 Nov 7.

Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, 3701 Market Street, 7th Floor, Philadelphia, PA 19104, USA. Electronic address:

Primary care providers frequently care for complaints of the hands and feet. Here, the author describes the typical presentations of hand osteoarthritis, carpal tunnel syndrome, ganglion cysts, plantar fasciitis, onychomycosis, and Morton neuroma. Useful physical examination techniques are described. Read More

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January 2021

Rheumatoid nodule mimicking Morton´s neuroma: a rare case report.

Acta Reumatol Port 2020 Jul-Sep;45(3):220-222

Hospital Lusíadas Lisboa, Lisbon, Portugal.

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November 2020

First webspace Morton's neuroma case report with literature review.

Foot (Edinb) 2020 Dec 24;45:101723. Epub 2020 Jul 24.

Clinical and Anatomical pathologist, Shiraz University of Medical Sciences, Iran.

Morton's neuromas are benign lesions of the inter-digital nerves within the foot. They are most commonly found in the second and third webspace. Morton's neuroma of the first webspace is very rare. Read More

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December 2020

Long-term evaluation of the distal transverse plantar approach for Morton's neuroma excision.

Swiss Med Wkly 2020 Sep 29;150:w20347. Epub 2020 Sep 29.

Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Switzerland.

Background: There is currently no consensus on the ideal approach for the operative treatment of Morton’s neuroma. The distal transverse plantar approach aims at optimal exposure without the scar complications associated with the longitudinal plantar approach. Long-term evaluation based on validated outcome instruments is lacking. Read More

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September 2020

Forefoot pain.

BMJ 2020 10 9;371:m3704. Epub 2020 Oct 9.

Croydon University Hospital, London, UK.

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October 2020

Anatomic basis for a new ultrasound-guided, mini-invasive technique for release of the deep transverse metatarsal ligament.

Clin Anat 2021 Jul 12;34(5):678-684. Epub 2020 Oct 12.

Department of Anatomy, Histology and Embryology, Institute of Clinical and Functional Anatomy, Medical University of Innsbruck (MUI), Innsbruck, Austria.

Introduction: Morton's neuroma is an entrapment neuropathy of the third common plantar digital nerve, caused by the deep transverse metatarsal ligament (DTML). Minimally invasive or percutaneous surgery is a very common procedure, but surgical effectivity of this technique remains controversial. The goal of our study was to prove the effectiveness and safety of a new ultrasound-guided technique for DTML-release in a cadaver model. Read More

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Comparative Analysis of Dorsal Nerve Relocation versus Dorsal Neurectomy in the Surgical Management of Morton's Neuroma.

J Foot Ankle Surg 2020 Nov - Dec;59(6):1148-1155. Epub 2020 Sep 4.

Consultant Orthopaedic Surgeon, Chelsfield Park Hospital, Farnborough, Orpington, United Kingdom.

This clinical study compares the use of dorsal nerve relocation (DNR; also known as dorsal nerve transfer) and dorsal neurectomy (DN) in the surgical management of Morton's neuroma within the surgical directorate of an NHS Hospital Trust (Princess Royal University Hospital) in the South East of England between 2002 and 2009. Approaches to the surgical management of Morton's neuroma are dependent on the views of individual surgeons, rather than empirical evidence and varied considerably, so this study was essentially all about checking whether best practice is being followed and making improvements. Data were collected using an in-depth review of patients' case notes and patient questionnaires. Read More

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September 2020

Interdigital Commissural Approach for Morton's Neuroma.

Foot Ankle Int 2020 Oct 16;41(10):1226-1233. Epub 2020 Jul 16.

Austral University Hospital, Pilar, Buenos Aires, Argentina.

Background: Morton's neuroma is a frequent cause of metatarsalgia. Operative treatment is indicated if nonoperative management has failed. The objective of the present study was to describe a technique of Morton's neuroma excision by a minimally invasive commissural approach and evaluate the long-term outcome and complications. Read More

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October 2020

Letter comments on the Nerve decompression according to A.L. Dellon in Morton's neuroma - A retrospective analysis.

Authors:
David Cashley

J Plast Reconstr Aesthet Surg 2020 09 12;73(9):1775-1784. Epub 2020 Jun 12.

Lead Podiatrist Dundee Podiatric Clinic, 62a Dundee Road, Broughty Ferry, Dundee DD5 1HY, UK. Electronic address:

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September 2020

The effectiveness of shoe modifications and orthotics in the conservative treatment of Civinini-Morton syndrome: state of art.

Acta Biomed 2020 05 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

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Radiofrequency Ablation for the Treatment of Painful Neuroma.

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

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Morton's neuroma as a surgical example of entrapment syndrome.

J Plast Reconstr Aesthet Surg 2020 06 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:

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Nerve decompression according to A.L. Dellon in Morton's neuroma - A retrospective analysis.

J Plast Reconstr Aesthet Surg 2020 06 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

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Injection Techniques for Common Chronic Pain Conditions of the Foot: A Comprehensive Review.

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

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Treating Morton's neuroma by injection, neurolysis, or neurectomy: a systematic review and meta-analysis of pain and satisfaction outcomes.

Acta Neurochir (Wien) 2021 02 13;163(2):531-543. Epub 2020 Feb 13.

Department of Neurological Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Background: Individual evidence suggests that multiple modalities can be used to treat entrapment pathology by Morton's neuroma, including injection, neurolysis, and neurectomy. However, their impacts on patient pain and satisfaction have yet to be fully defined or elucidated. Correspondingly, our aim was to pool systematically identified metadata and substantiate the impact of these different modalities in treating Morton's neuroma with respect to these outcomes. Read More

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February 2021

Non-surgical treatments for Morton's neuroma: A systematic review.

Foot Ankle Surg 2020 Oct 2;26(7):736-743. 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

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October 2020

Forefoot Pain in the Lesser Toes: Anatomical Considerations and Magnetic Resonance Imaging Findings.

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

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November 2019

Effectiveness of customized insoles in patients with Morton's neuroma: a randomized, controlled, double-blind clinical trial.

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

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December 2019

Ultrasound-guided radiofrequency ablation for treatment of Morton's neuroma: initial experience.

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

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October 2019

Man with foot pain.

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

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

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Mechanical diagnosis and therapy and Morton's neuroma: a case-series.

J Man Manip Ther 2020 02 9;28(1):60-67. Epub 2019 Jun 9.

Maccio Physical Therapy, Troy, NY, USA.

: Morton's neuroma (MN) is a neuralgia involving the common plantar digital nerves of the metatarsal region. Evidence-based treatment options for MN are sparse, and utility of physical therapy (PT) is unknown. Mechanical Diagnosis and Therapy (MDT) is a classification system utilizing direction-specific treatment for orthopedic conditions based on mechanical and symptomatic response to repeated end range movements. Read More

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February 2020

Value of Preoperative Imaging and Intraoperative Histopathology in Morton's Neuroma.

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

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September 2019

Can percutaneous alcoholization of Morton's neuroma with phenol by electrostimulation guidance be an alternative to surgical excision? Long-term results.

Foot Ankle Surg 2020 Apr 17;26(3):314-319. Epub 2019 Apr 17.

Department of Orthopedics and Trauma Surgery, University of Verona, Italy. Electronic address:

Background: Percutaneous alcoholization with phenol by electrostimulation guidance for the treatment of Morton's neuroma is proposed to determine a permanent chemical neurolysis.

Methods: 115 patients for 125 Morton's neuromas were treated. Ten patients were affected by multiple neuromas. Read More

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The effectiveness of non-surgical interventions for common plantar digital compressive neuropathy (Morton's neuroma): a systematic review and meta-analysis.

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

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Intra- and Interobserver Reliability of Size Measurement of Morton Neuromas on Sonography.

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

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September 2019

Overview of Metatarsalgia.

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

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January 2019

Dorsal suspension for Morton's neuroma: A comparison with neurectomy.

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

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December 2019