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Mortons toe

Christopher L Camp, Bernard F Morrey, Robert T Trousdale
BACKGROUND: Formalized training in the specialty of orthopedic surgery began at the Mayo Clinic nearly 100 years ago, and treatment of patients with musculoskeletal injuries and disease began even earlier. A robust historical patient database provides the opportunity for review of the first recorded orthopedic cases at our institution, which date back to 1907. METHODS: The first 400 sequential medical charts of the Mayo Clinic's patient record database were comprehensively reviewed in order to identify the first documented orthopedic cases...
2016: Iowa Orthopaedic Journal
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
Hyun Seok, Sang-Hyun Kim, Seung Yeol Lee, Sung Won Park
BACKGROUND: The aim of this study was to evaluate the efficacy of extracorporeal shockwave therapy (ESWT) for the treatment of Morton's neuroma by measuring changes in patient pain, function, and neuroma size. METHODS: Patients with Morton's neuroma were randomly assigned to either the ESWT group or the sham stimulation group. Outcome measures, including visual analog scale (VAS) and American Orthopaedic Foot and Ankle Society lesser toes (AOFAS) scores, were assessed at baseline and 1 and 4 weeks after treatment...
March 2016: Journal of the American Podiatric Medical Association
Mehmet Orçun Akkurt, Hakan Şeşen, Mahmut Özdemir, Mehmet Faruk Çatma, İsmail Demirkale
Complications of first metatarsophalangeal joint metallic arthroplasty are well known. However, the resulting shortening of the metatarsals can lead to transverse metatarsalgia or medial column pain at the metatarsophalangeal joints by creating Morton's toe/foot, which increases pressure on the second metatarsal head. The effect of the functional length ratio of the first and second metatarsals on pain and patient satisfaction has not been rigorously evaluated. We evaluated the effect of the first/second metatarsal ratio on patient satisfaction with first metatarsophalangeal joint metallic arthroplasty...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Claudia M Campbell, Eric Diamond, William K Schmidt, Margaret Kelly, Robert Allen, William Houghton, Kerrie L Brady, James N Campbell
Intermetatarsal neuroma or Morton's neuroma is a painful condition of the foot resulting from an entrapment of the common digital nerve typically in the third intermetatarsal space. The pain can be severe and especially problematic with walking. Treatment options are limited and surgery may lead to permanent numbness in the toes. Capsaicin, the pungent ingredient of hot peppers, produces analgesia by inducing retraction of nociceptive afferents from the area of innervation and is effective in treating certain neuropathic pain disorders...
June 2016: Pain
Imran Ratanshi, Thomas E J Hayakawa, Jennifer L Giuffre
INTRODUCTION: "Morton neuroma" is a common cause of forefoot pain with numbness frequently occurring in the distribution of the third common digital nerve. After the failure of nonoperative measures, decompression with excision of the neuroma is common practice. Residual numbness and recurrent pain has been reported as a consequence of this treatment option. This study describes excision of the neuroma with interpositional nerve grafting as a treatment option for Morton neuroma. This proposed technique has the benefit of reducing pain, reducing recurrent secondary neuromas and restoring postexcision sensory deficits...
April 2016: Annals of Plastic Surgery
Suleyman Deniz, Tarik Purtuloglu, Sukru Tekindur, Kadir Hakan Cansız, Memduh Yetim, Oguz Kılıckaya, Serkan Senkal, Serkan Bilgic, Abdulkadir Atim, Ercan Kurt
BACKGROUND: Morton's neuroma is a perineural fibrosis of an intermetatarsal plantar nerve. Burning, numbness, paresthesia, and tingling down the interspaces of involved toes may also be experienced. Taking into account all of this information, we designed a prospective open-label study to evaluate the efficacy of pulsed radio frequency on Morton's neuroma. METHODS: Twenty patients with Morton's neuroma were experiencing symptomatic neuroma pain in the foot not relieved by routine conservative treatment...
July 2015: Journal of the American Podiatric Medical Association
Won-Gyu Yoo
[Purpose] This study examined the effects of the intrinsic foot muscle exercise combined with interphalangeal flexion exercise on metatarsalgia with Morton's toe. [Subject] A 38-year-old male with Morton's toe, who complained of pain in his left metatarsophalangeal joints was the subject. [Methods] The pressure pain threshold, peak contact pressure of the metatarsophalangeal region during gait, and the navicular drop were measured before and after the intrinsic foot muscles exercises combined with interphalangeal flexion exercise...
December 2014: Journal of Physical Therapy Science
Shinji Isomoto, Yasuhito Tanaka
Morton's disease refers to neuralgia at the web space of the toes with a pseudo-neuroma. It commonly occurs in the third web space of the foot in middle-aged and older women. The pseudo-neuroma is thought to be a secondary change after entrapment or repeated microtrauma. Patients complain of forefoot pain while walking. Typically, symptoms are caused by tight high-heeled shoes. The physical examination includes palpation of the web spaces and Mulder's test. Weight bearing foot radiographs are used to evaluate the deformity of the foot, especially at metatarsophalangeal (MTP) joints...
December 2014: Brain and Nerve, Shinkei Kenkyū No Shinpo
Hiromichi Maki, Hidekuni Ogawa, Yoshiharu Yonezawa, Allen W Hahn, W Morton Caldwell
We have developed an ultrasonic stride length measuring system for analyzing the human gait. All elements of the system are quite small and each fit into an appropriate package. An ultrasonic transmitter, a digital compass, a radio transmitter and a microcontroller are attached to the subject’s heel on the right shoe and in the direction of the left shoe. Two ultrasonic receivers, a digital compass, a radio receiver, a microcontroller and a 1GB SD memory card are installed on the left shoe. The ultrasonic receivers are attached to the toe and heel in the direction of the right shoe...
2014: Biomedical Sciences Instrumentation
Elisabeth Holden, Ahmed Bashir, Ira Das, Hugh Morton, Christopher D Steadman, Peter Nightingale, Richard P Steeds, Miruna D David
OBJECTIVES: Infective endocarditis (IE) is a feared complication in up to 38% of cases of Staphylococcus aureus bacteraemia (SAB). BSAC guidelines recommend echocardiography in all cases of SAB. The aim of this study was to determine the incidence of IE in SAB using transoesophageal echocardiography (TOE) as the first step in diagnostic imaging. This study also sought to identify clinical predictors that could improve stratification of those with and without IE. METHODS: A guideline was implemented that any SAB resulted in the microbiology department (i) recommending that the patient be referred for TOE and (ii) notifying the echocardiography department, resulting in streamlined listing of the patient for TOE...
July 2014: Journal of Antimicrobial Chemotherapy
Francis Brooks, Kartik Hariharan
Rheumatoid arthritis (RA) manifests itself in a variety of ways, with its effect being seen in around 90 % of sufferers' feet. The foot has been found to be the most common reason for incapacity in patients with RA, with the forefoot the most common area. The foot is second, behind only the hand, as the most common place for manifestation of RA. Pain in the foot is commonly the most debilitating condition, which causes the patient to seek specialist help. As well as pain, foot deformities such as hallux valgus and claw toes are common complaints...
December 2013: Current Reviews in Musculoskeletal Medicine
Maximilian Kasparek, Wolfgang Schneider
PURPOSE: Long-term results following surgical treatment of Morton neuroma are rare. The purpose of the present study was to evaluate patients after excision of Morton's neuroma at least ten years following surgery. METHODS: We performed a retrospective review of the patients' records who underwent excision of an interdigital neuroma with the clinical diagnosis of Morton's neuroma. Eighty-one patients who had undergone surgery on 98 feet were analysed at an average of 15...
September 2013: International Orthopaedics
Elif Ilgaz Aydinlar, Metin Uzun, Burak Beksac, Vahit Emre Ozden, Ercan Karaarslan, A Emre Oge
INTRODUCTION: We describe a simple and quickly applied electrodiagnostic method for confirming the diagnosis of interdigital neuropathy caused by Morton neuroma (MN). METHODS: Interdigital nerves II-III and III-IV were stimulated with surface electrodes simultaneously touching the lateral side of 1 toe and the medial side of the other. Recording was also made with surface electrodes. The results of 20 normal controls and 14 patients with MN were evaluated. RESULTS: The amplitude and peak latency values elicited in the patients as well as the interside differences revealed an acceptable abnormality rate between 57...
February 2014: Muscle & Nerve
Colin E Thomson, Ian Beggs, Denis J Martin, Diane McMillan, Rhiannon Tudor Edwards, Daphne Russell, Seow Tien Yeo, Ian T Russell, J N Alastair Gibson
BACKGROUND: Morton neuroma is a common cause of neuralgia affecting the web spaces of the toes. Corticosteroid injections are commonly administered as a first-line therapy, but the evidence for their effectiveness is weak. Our primary research aim was to determine whether corticosteroid injection is an effective treatment for Morton neuroma compared with an anesthetic injection as a placebo control. METHODS: We performed a pragmatic, patient-blinded randomized trial set within hospital orthopaedic outpatient clinics in Edinburgh, United Kingdom...
May 1, 2013: Journal of Bone and Joint Surgery. American Volume
Uyen-Sa D T Nguyen, Alyssa B Dufour, Rock G Positano, Joshua S Dines, Christopher C Dodson, David G Gagnon, Howard J Hillstrom, Marian T Hannan
BACKGROUND: To our knowledge, hand dominance and side of foot disorders has not been described in the literature. We sought to evaluate whether hand dominance was associated with ipsilateral foot disorders in community-dwelling older men and women. METHODS: Data were from the Framingham Foot Study (N = 2,089, examined 2002-2008). Hand preference for writing was used to classify hand dominance. Foot disorders and side of disorders were based on validated foot examination findings...
January 2013: Journal of the American Podiatric Medical Association
Hiromichi Maki, Hidekuni Ogawa, Yoshiharu Yonezawa, Allen W Hahn, W Morton Caldwell
We have developed a new ultrasonic stride length measuring system for analyzing the human gait. An ultrasonic transmitter, a radio transmitter, a pressure sensor and microcontroller are attached to the subject’s heel on the right shoe and in the direction of the left shoe. Two ultrasonic receivers, a radio receiver, a microcontroller and a 1GB SD memory card are installed on the left shoe. Ultrasonic receivers are attached to the toe and heel, in the direction of the right shoe. When the right foot contacts the ground, its heel-mounted ultrasonic and radio transmitters simultaneously transmit to the left shoe...
2012: Biomedical Sciences Instrumentation
Muhammad Ali Fazal, Ishrat Khan, Cherian Thomas
BACKGROUND: Magnetic resonance imaging (MRI) and ultrasonography are used widely for the diagnosis of Morton's neuroma. The aim of this study was to assess the accuracy of these two modalities as diagnostic tools in Morton's neuroma. METHODS: Fifty feet of 47 consecutive patients (39 women and 8 men; mean age, 46 years; age range, 36-64 years) who presented between January 1, 2005, and June 30, 2008, were included in the study. Twenty-five feet were investigated with ultrasonography and 25 with MRI...
May 2012: Journal of the American Podiatric Medical Association
Justin Greisberg, Lisa Sperber, Daniel E Prince
BACKGROUND: Instability of the first ray has been proposed by Morton and others to be a major cause of several foot disorders, including hallux valgus, transfer metatarsalgia, lesser metatarsal stress fractures, and second metatarsophalangeal diseases. However, there are few studies to support these theories. In this study, we have used a simple device to measure first ray elevation and translation in a consecutive series of foot and ankle patients. We propose that mobility of the first ray will be increased in patients with hallux valgus, metatarsalgia, hallux rigidus, lesser metatarsal stress fractures, posterior tibial tendinitis, and interdigital neuromas...
January 2012: Foot & Ankle International
Reinhard Schuh, Hans Joerg Trnka
Metatarsalgia is a common pathologic entity. It refers to pain at the MTP joints. Pain in the foot unrelated to the MTP joints (such as Morton’s neuroma) must be distinguished from those disorders, which lead to abnormal pressure distribution, reactive calluses, and pain. Initial treatment options for metatarsalgia include modifications of shoe wear, metatarsal pads, and custom-made orthoses. If conservative treatment fails, operative reconstructive procedures in terms of metatarsal osteotomies should be considered...
December 2011: Foot and Ankle Clinics
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