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Morton’s neuroma

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https://www.readbyqxmd.com/read/30062527/short-term-comparison-between-blind-and-ultrasound-guided-injection-in-morton-neuroma
#1
Fernando Ruiz Santiago, Nicolás Prados Olleta, Pablo Tomás Muñoz, Luis Guzmán Álvarez, Alberto Martínez Martínez
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). Injection includes 1 ml of 2% mepivacaine and 40 mg of triamcinolone in each web space with MN...
July 31, 2018: European Radiology
https://www.readbyqxmd.com/read/30027012/a-case-of-a-second-intermetatarsal-space-gouty-tophus-with-a-presentation-similar-to-a-morton-s-neuroma
#2
Fatemeh Razaghi, Eildar Abyar, Carly A Cignetti, Jeffery A Jones, Eva Lehtonen, John L Johnson, Matthew Anderson, Alan Hsu, Kyle D Paul, Ashish Shah
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...
May 14, 2018: Curēus
https://www.readbyqxmd.com/read/29871378/efficacy-of-pulsed-radiofrequency-stimulation-in-patients-with-peripheral-neuropathic-pain-a-narrative-review
#3
Min Cheol Chang
BACKGROUND: Recently, clinicians have been applying pulsed radiofrequency (PRF) stimulation on various peripheral nerves to manage patients' peripheral neuropathic pain. OBJECTIVES: To review the literature on the use and efficacy of PRF for controlling peripheral neuropathic pain. STUDY DESIGN: This is a narrative review of relevant articles on the effectiveness of PRF for peripheral neuropathic pain. METHODS: A PubMed search was conducted for papers published from January 1, 1980 to August 31, 2017 that used PRF to treat peripheral neuropathic pain...
May 2018: Pain Physician
https://www.readbyqxmd.com/read/29779991/mechanical-metatarsalgia-as-a-risk-factor-for-relapse-of-morton-s-neuroma-after-ultrasound-guided-alcohol-injection
#4
Paolo Lorenzon, Carlo Rettore
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. We included 104 consecutive cases of ultrasound-guided alcohol injection for Morton's neuroma in 92 patients...
May 17, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29470159/central-metatarsalgia-and-walking-on-pebbles-beyond-morton-neuroma
#5
Akash Ganguly, Joanne Warner, Hifz Aniq
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...
April 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29409240/treatment-of-morton-s-neuroma-a-systematic-review
#6
REVIEW
Silvia Valisena, Gianfranco John Petri, Andrea Ferrero
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. Only studies in English were collected. The last search was in August 2015. Case series and randomized controlled trials (RCTs) assessing patients' satisfaction or pain improvement at an average follow-up of at least 6 months after treatment of primary MN were included...
April 5, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29381043/foot-and-ankle-conditions-midfoot-and-forefoot-conditions
#7
Katherine M Edenfield, Charlie Michaudet, Guy W Nicolette, Peter J Carek
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. A thorough history and physical examination should include foot and leg biomechanics, alignment, and posture in addition to palpation of painful areas...
February 2018: FP Essentials
https://www.readbyqxmd.com/read/29354403/endoscopic-interdigital-neurectomy-of-the-foot
#8
Tun Hing Lui
Morton's neuroma is a compressive neuropathy resulting in perineural fibrosis rather than a neuroma of the plantar digital nerve. Surgical treatment is indicated for patients with a clear diagnosis of Morton's neuroma and no improvement with nonsurgical treatment. The surgical options include isolated intermetatarsal ligament division, isolated interdigital nerve excision, and interdigital nerve excision with intermetatarsal ligament division, with or without submuscular transposition. This can be performed via dorsal or plantar approach...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29242787/foot-deformities-in-hajdu-cheney-syndrome-a-rare-case-report-and-review-of-the-literature
#9
Ashish B Shah, Breann K Tisano, Osama Elattar, Jackson Rucker Staggers, Sameer Naranje
Introduction: Hajdu-Cheney syndrome (HCS) is a rare autosomal dominant disease characterized by acroosteolysis, wormian skull bones with persistent skull sutures, premature loss of teeth, micrognathia, short stature, hypermobility of the joints, neurologic manifestations such as basilar invagination with subsequent paresthesia, hearing loss, and speech alterations, and osteoporosis with tendency to pathologic fractures of long bones and vertebrae as well as painful hands and feet. Very few cases have been earlier reported in the literature...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29230531/risk-factors-and-the-associated-cutoff-values-for-failure-of-corticosteroid-injection-in-treatment-of-morton-s-neuroma
#10
Young Hwan Park, Ja Woon Lee, Gi Won Choi, Hak Jun Kim
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. METHOD: Among 201 patients who had corticosteroid injection for Morton's neuroma, 40 underwent further treatment after injections...
February 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29216700/-assessment-of-pain-function-and-complications-after-minimelly-invasive-decompression-of-morton%C3%A2-s-neuroma-using-a-dorsal-approach-in-16-patients
#11
F Sancho-Barroso, J Strassburger-Weidmann, V Castillo-Anaya
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. Data was analyzed with the Student t test for related samples, which yielded a p value 0...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29200487/morton-s-neuroma-interdigital-neuralgia-treated-with-metatarsal-sliding-osteotomy
#12
Joonho Lee, Jeongyo Kim, Myoungjin Lee, Intak Chu, Sungjae Lee, Heuichul Gwak
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. Materials and Methods: Sixty five consecutive patients (85 feet) who underwent surgery for Morton's neuroma between November 2010 and February 2013 were identified from hospital records to include in this retrospective study...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29189515/surgical-interventions-for-the-treatment-of-painful-neuroma-a-comparative-meta-analysis
#13
Louis H Poppler, Rajiv P Parikh, Miles J Bichanich, Kelsey Rebehn, Carrie R Bettlach, Susan E Mackinnon, Amy M Moore
A consensus on the optimal treatment of painful neuromas does not exist. Our objective was to identify available data and to examine the role of surgical technique on outcomes following surgical management of painful neuromas. In accordance with the PRISMA guidelines, we performed a comprehensive literature search to identify studies measuring the efficacy of the surgical treatment of painful neuromas in the extremities (excluding Morton's neuroma and compression neuropathies). Surgical treatments were categorized as excision-only, excision and transposition, excision and cap, excision and repair, or neurolysis and coverage...
February 2018: Pain
https://www.readbyqxmd.com/read/29153007/ultrasound-guided-hyaluronic-acid-injection-for-the-management-of-morton-s-neuroma
#14
Kang Lee, Il-Yeong Hwang, Chang Hyun Ryu, Jae Woo Lee, Seung Woo Kang
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. Those with severe forefoot deformities such as forefoot cavus or hallux valgus on plain X-rays were excluded...
February 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29108685/synovial-sarcoma-of-the-digits-a-case-report-of-an-unplanned-excision
#15
Julie Taranto, Marek F Havlat
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. Despite the patient presenting with symptoms similar to those of a compressive neuropathy, a high index of suspicion should be present when a patient presents with any soft tissue mass, especially if it has an unusual clinical appearance to avoid an unplanned excision...
March 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29047294/deep-transverse-metatarsal-ligament-transection-in-morton-s-neuroma-excision-a-cadaveric-study-examining-effects-on-metatarsal-alignment
#16
Nathaniel Preston, Daniel Peterson, Jamey Allen, Jill S Kawalec, Jeffrey Whitaker
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. Each limb was mounted to the MTS 858 Mini Bionix biomechanical test system and loaded to 120% of the donor's documented body weight at a rate of 15 lbf/s, in order to simulate peak weightbearing ground reactive forces on the forefoot...
August 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28956110/ultrasound-guided-percutaneous-radiofrequency-for-the-treatment-of-morton-s-neuroma
#17
Salvatore Masala, Alessandro Cuzzolino, Marco Morini, Mario Raguso, Roberto Fiori
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. A sterile RF needle probe (22G, 5-cm needle with 10-mm electrode active tip) was inserted between the toes into the intermetatarsal space at the center of the lesion...
January 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28795948/forefoot-complaints-the-morton-s-metatarsalgia-the-role-of-mr-imaging
#18
Theodossios Birbilis, Efthymia Theodoropoulou, Dimitrios Koulalis
An illustrated case with Morton's metatarsalgia is presented. MR imaging was helpful for determining the presence, location and magnitude of intermetatarsal neuroma. Moreover, it had a large influence on the differential diagnostic thinking because many disorders may produce forefoot complaints mimicking Morton's metatarsalgia.
2007: Acta Medica (Hradec Králové)
https://www.readbyqxmd.com/read/28617064/corticosteroid-injection-for-the-treatment-of-morton-s-neuroma-a-prospective-double-blinded-randomized-placebo-controlled-trial
#19
Xavier Lizano-Díez, Alberto Ginés-Cespedosa, Eduard Alentorn-Geli, Daniel Pérez-Prieto, Gemma González-Lucena, Carlo Gamba, Santiago de Zabala, Alberto Solano-López, Pau Rigol-Ramón
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. METHODS: Forty-one patients with a diagnosis of Morton's neuroma were randomized to receive 3 injections of either a corticosteroid plus a local anesthetic or a local anesthetic alone...
September 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28513218/three-cycles-of-radiofrequency-ablation-are-more-efficacious-than-two-in-the-management-of-morton-s-neuroma
#20
David Brooks, Adam Parr, William Bryceson
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. This study investigates the effectiveness of 2 versus 3 cycles of radiofrequency ablation for the treatment of Morton's neuroma. METHODS: We surveyed a cohort of patients with Morton's neuroma who had progressed to radiofrequency ablation after failed conservative treatment...
April 2018: Foot & Ankle Specialist
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