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Morton's neuroma

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https://www.readbyqxmd.com/read/28617064/corticosteroid-injection-for-the-treatment-of-morton-s-neuroma-a-prospective-double-blinded-randomized-placebo-controlled-trial
#1
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...
June 1, 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
#2
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...
May 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28249977/the-role-of-the-width-of-the-forefoot-in-the-development-of-morton-s-neuroma
#3
Y H Park, S M Jeong, G W Choi, H J Kim
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. The involved and uninvolved feet of each patient were compared. A control group of patients with symptoms from the foot, but without a neuroma who were matched for age, gender, affected side, and web space location, were enrolled...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28030965/is-histopathological-analysis-of-interdigital-morton-s-neuroma-necessary
#4
Ravi Kanth Mallina, Khalid Al-Dadah, Kirtan Patel, Pal Ramesh
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. We present a study correlating clinical and radiological diagnosis with histopathologic appearances of IN following surgical excision, and question if routine histopathological analysis is warranted...
December 1, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28002867/update-on-ultrasound-guided-interventional-procedures-on-peripheral-nerves
#5
Alberto Tagliafico, Bianca Bignotti, Carlo Martinoli
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. US-guided injections could be considered a diagnostic and therapeutic option in the most common neuropathy, before or as an alternative to surgery...
November 2016: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/27999504/neurectomy-outcomes-in-patients-with-morton-neuroma-comparison-of-plantar-vs-dorsal-approaches
#6
Alexander Habashy, Gonzalo Sumarriva, Robert J Treuting
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. METHODS: The medical records and survey responses of 37 patients with 42 neuromas were evaluated with respect to outcomes and patient satisfaction after neurectomies performed through either a plantar or dorsal surgical approach by one Ochsner Clinic Foundation attending physician...
2016: Ochsner Journal
https://www.readbyqxmd.com/read/27897032/ultrasound-evaluation-of-morton-neuroma-before-and-after-laser-therapy
#7
Lana H Gimber, David M Melville, Darin A Bocian, Elizabeth A Krupinski, Matthew P Del Guidice, Mihra S Taljanovic
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...
February 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27888848/postoperative-foot-and-ankle-mr-imaging
#8
REVIEW
Samuel D Madoff, Jeffrey Kaye, Joel S Newman
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.
February 2017: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/27837053/radiographic-analysis-of-feet-with-and-without-morton-s-neuroma
#9
Reza Naraghi, Alexandra Bremner, Linda Slack-Smith, Alan Bryant
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...
March 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27809268/use-of-capsaicin-to-treat-pain-mechanistic-and-therapeutic-considerations
#10
REVIEW
Man-Kyo Chung, James N Campbell
Capsaicin is the pungent ingredient of chili peppers and is approved as a topical treatment of neuropathic pain. The analgesia lasts for several months after a single treatment. Capsaicin selectively activates TRPV1, a Ca(2+)-permeable cationic ion channel that is enriched in the terminals of certain nociceptors. Activation is followed by a prolonged decreased response to noxious stimuli. Interest also exists in the use of injectable capsaicin as a treatment for focal pain conditions, such as arthritis and other musculoskeletal conditions...
November 1, 2016: Pharmaceuticals
https://www.readbyqxmd.com/read/27726748/ct-and-mr-imaging-of-the-postoperative-ankle-and-foot
#11
Gary M LiMarzi, Kurt F Scherer, Michael L Richardson, David R Warden, Christopher W Wasyliw, Jack A Porrino, Christopher R Pettis, Gideon Lewis, Christopher C Mason, Laura W Bancroft
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...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27694592/outcomes-following-excision-of-morton-s-interdigital-neuroma-a-prospective-study
#12
V Bucknall, D Rutherford, D MacDonald, H Shalaby, J McKinley, S J Breusch
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). Patients completed the Manchester-Oxford Foot Questionnaire (MOXFQ), Short Form-12 (SF-12) and a supplementary patient satisfaction survey three months pre-operatively and six months post-operatively...
October 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27627563/long-term-results-of-neurectomy-through-a-dorsal-approach-in-the-treatment-of-morton-s-neuroma
#13
Paweł Reichert, Krzysztof Zimmer, Jarosław Witkowski, Witold Wnukiewicz, Sebastian Kuliński, Jerzy Gosk
BACKGROUND: Morton's neuroma, a painful enlargement of the plantar digital nerve between the metatarsal heads, is a common cause of metatarsalgia. The etiology and treatment are still a controversial matter. OBJECTIVES: The objective of this study was to evaluate the long-term follow-up results of neurectomy through a dorsal approach and to identify prognostic factors that can affect the final outcome. MATERIAL AND METHODS: The study included 41 patients who were treated for Morton's neuroma...
March 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/27562973/sonography-of-morton-neuromas-what-are-we-really-looking-at
#14
Stuart L Cohen, Theodore T Miller, Scott J Ellis, Matthew M Roberts, Edward F DiCarlo
OBJECTIVES: To determine what accounts for the sonographic appearance of a Morton neuroma by correlating preoperative sonograms with the sonographic appearance of the resected surgical specimen, the surgical findings, and the pathologic examination. METHODS: Ten Morton neuromas that had preoperative sonograms underwent postoperative specimen sonography and histologic evaluation. The appearance and size of the neuromas were compared between the preoperative and postoperative specimen images and were compared to the surgical and pathologic appearances...
October 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27336453/imaging-of-lesser-metatarsophalangeal-joint-plantar-plate-degeneration-tear-and-repair
#15
REVIEW
James M Linklater, Stephen J Bird
Plantar plate degeneration and tear is a common cause of forefoot pain, typically involving the second metatarsophalangeal joint at the proximal phalangeal insertion laterally, frequently confused with the second web space Morton neuroma. The condition has received increased attention with the development of surgical techniques that can result in successful repair of the plantar plate and substantial improvement in patient symptoms. High-resolution MRI or ultrasound can confirm a diagnosis of plantar plate degeneration and tear and exclude other pathologies, particularly Morton neuroma...
April 2016: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/27284515/endoscopic-intermetatarsal-ligament-decompression
#16
Tun Hing Lui
Morton neuroma is an entrapment of the intermetatarsal nerve by the deep intermetatarsal ligament. It is usually treated conservatively. Surgery is considered if there is recalcitrant pain that is resistant to conservative treatment. The surgical options include resection of the neuroma or decompression of the involved nerve. Decompression of the nerve by release of the intermetatarsal ligament can be performed by either an open or minimally invasive approach. We describe 2-portal endoscopic decompression of the intermetatarsal nerve...
December 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27269979/neurectomy-for-bilateral-morton-s-neuroma-a-case-report-of-a-male-patient
#17
Terufumi Shibata, Ichiro Yoshimura, Kazuki Kanazawa, Tomonobu Hagio, So Minokawa, Masaya Nagatomo, Masatoshi Naito
Morton's neuroma is a common condition that mainly affects middle-aged women, and many articles have addressed the surgical treatment of this condition. Previous reports have described bilateral neuroma excision in women but not in men. We report a rare case of bilateral neuromas in a male patient treated with simultaneous neurectomy.
May 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27189181/percutaneous-mr-guided-cryoablation-of-morton-s-neuroma-rationale-and-technical-details-after-the-first-20-patients
#18
Roberto Luigi Cazzato, Julien Garnon, Nitin Ramamurthy, Georgia Tsoumakidou, Jean Caudrelier, Marie-Aude Thenint, Pramod Rao, Guillaume Koch, Afshin Gangi
OBJECTIVES: The purpose of this study is to discuss technical aspects and rationales of magnetic resonance (MR)-guided cryoablation (CA) of Morton's neuroma (MN); preliminary clinical experience is also retrospectively reviewed. METHODS: Procedures were performed under local anaesthesia on an outpatient basis. Lesion size and location, procedural (technical success, procedural time, complications) and clinical outcomes (patient satisfaction according to a four-point scale, residual pain according to a 0-10 visual analogue scale and instances of "stump neuroma") were assessed via chart review and cross-sectional telephone survey after the 20th case...
October 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27175566/tendon-sheath-fibroma-mimicking-submetatarsal-bursitis-with-a-concomitant-morton-neuroma-imaging-with-ultrasound-and-magnetic-resonance
#19
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
No abstract text is available yet for this article.
December 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27134018/musculoskeletal-interventional-radiology-ultrasound-and-ct
#20
J Martel Villagrán, Á Bueno Horcajadas, E Agrela Rojas
We aim to describe imaging-guided (ultrasound and CT) interventional techniques in the musculoskeletal system that can be performed by general radiologists, whether in hospitals, primary care clinics, private offices, or other settings. The first requirement for doing these procedures is adequate knowledge of the anatomy of the musculoskeletal system. The second requirement is to inform the patient thoroughly about the technique, the risks involved, and the alternatives available in order to obtain written informed consent...
May 2016: Radiología
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