| Literature DB >> 29409221 |
Francesco Di Caprio1, Renato Meringolo2, Marwan Shehab Eddine2, Lorenzo Ponziani2.
Abstract
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.Entities:
Keywords: Civinini; Interdigital neuroma; Metatarsalgia; Morton
Mesh:
Year: 2017 PMID: 29409221 DOI: 10.1016/j.fas.2017.01.007
Source DB: PubMed Journal: Foot Ankle Surg ISSN: 1268-7731 Impact factor: 2.705