Foot and Ankle Surgery
Volume 14, Issue 2 , Pages 67-73 , 2008

A prospective 2-year follow-up study of plantar incisions in the treatment of primary intermetatarsal neuromas (Morton's neuroma)

  • Christian Åkermark

      Affiliations

    • Department of Orthopaedics, Ortopediska Huset, Drottninggatan 99, SE-11420 Stockholm, Sweden
    • Corresponding Author InformationCorresponding author at: Birger Jarlsgatan 106A, SE-11420 Stockholm, Sweden. Tel.: +46 70 5157888; fax: +46 8 153834.
    • ,
  • Tönu Saartok

      Affiliations

    • Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm and Department of Orthopaedics, Visby Hospital, Visby, Sweden
    • ,
  • Zbigniew Zuber

      Affiliations

    • Department of Orthopaedics, St Görans Hospital, Stockholm, Sweden

References 

  1. Betts L. Morton's metatarsalgia: neuritis of the fourth digital nerve. Med J Aust. 1940;1:514–515
  2. Kaplan EB. Surgical approach to the plantar digital nerves. Bull Hosp Joint Dis. 1950;11:96–97
  3. McElvenny RT. The etiology and surgical treatment of intractable pain about the fourth metatarsophalangeal joint (Morton's toe). J Bone Joint Surg. 1943;25:675–679
  4. McKeever DC. Surgical approach for neuroma of plantar nerve (Morton's metatarsalgia). J Bone Joint Surg Am. 1952;34:490
  5. Åkermark C, Crone H, Saartok T, Zuber Z. Plantar versus dorsal incisions in the treatment of primary intermetatarsal Mortońs neuromas. 2–5 year results in 125 retrospectively reviewed patients. Foot Ankle Int 2007, in press.
  6. Beskin JL, Baxter DE. Recurrent pain following interdigital neurectomy – a plantar approach. Foot Ankle. 1988;9:34–39
  7. Jarde O, Trinquier JL, Pleyber A, Meire P, Vives P. Treatment of Morton's neuroma by neurectomy. A review of 43 cases. Rev Chir Orthop. 1995;81:142–146.In French
  8. Johnson JE, Johnson KA, Unni KK. Persistent pain after excision of an interdigital neuroma. Results of reoperation. J Bone Joint Surg Am. 1988;70:651–657
  9. Karges DE. Plantar excision of primary interdigital neuromas. Foot Ankle. 1988;9:120–124
  10. Morris MA. Morton's metatarsalgia. Clin Orthop Relat Res. 1977;127:203–207
  11. Nashi M, Venkatachalam AK, Muddu BN. Surgery of Morton's neuroma: dorsal or plantar approach?. J R Coll Surg Edinb. 1997;42:36–37
  12. Okafor B, Shergill G, Angel J. Treatment of Morton's neuroma by neurolysis. Foot Ankle Int. 1997;18:284–287
  13. Wilson S, Kuwada GT. Retrospective study of the use of a plantar transverse incision versus a dorsal incision for excision of neuroma. J Foot Ankle Surg. 1995;34:537–540
  14. Coughlin MJ, Pinsonneault T. Operative treatment of interdigital neuroma. J Bone Joint Surg Am. 2001;83:1321–1328
  15. Dereymaeker G, Schroven I, Steenwerckx A, Stuer P. Results of excision of the interdigital nerve in the treatment of Morton's metatarsalgia. Acta Orthop Belg. 1996;62:22–25
  16. Friscia DA, Strom DE, Parr JW, Saltzman CL, Johnson KA. Surgical treatment for primary interdigital neuroma. Orthopedics. 1991;14:669–672
  17. Giannini S, Bacchini P, Ceccarelli F, Vannini F. Interdigital neuroma: clinical examination and histopathologic results in 63 cases treated with excision. Foot Ankle Int. 2004;25:79–84
  18. Gudas CJ, Mattana GM. Retrospective analysis of intermetatarsal neuroma excision with preservation of the transverse metatarsal ligament. Am Coll Foot Surg. 1986;25:459–463
  19. Mann RA, Reynolds JC. Interdigital neuroma—a critical clinical analysis. Foot Ankle. 1983;3:328–343
  20. Younger AS, Claridge RJ. The role of diagnostic block in the management of Morton's neuroma. Can J Surg. 1998;41:127–130
  21. Colgrove RC, Huang EY, Barth AH, Greene MA. Interdigital neuroma: intermuscular neuroma transposition compared with resection. Foot Ankle Int. 2000;21:206–211
  22. Mulder JD. The causative mechanism in Morton's metatarsalgia. J Bone Joint Surg Br. 1951;33:94–95
  23. McQuay HJ, Moore RA, Eccleston C, Morley S, Williams AC. Systematic review of outpatient services for chronic pain control. Health Tech Assess. 1997;1(6):1–135
  24. Morscher E, Ulrich J, Dick W. Morton's intermetatarsal neuroma: morphology and histological substrate. Foot Ankle Int. 2000;21:558–562
  25. Hortemo GS, Finsen V. Operativ behandling av Mortons nevrom. Tidskr Nor Laegeforen. 2003;123:2888;In Norwegian
  26. Nøkleby K. Morton's metatarsalgia. Acta Orthop Scand. 1985;56:528–529
  27. Kay D, Bennet GL. Morton's neuroma. Foot Ankle Clin. 2003;8:49–59
  28. Bradley N, Miller WA, Evans JP. Plantar Neuroma: Analysis of results following surgical excision in 145 patients. South Med J. 1976;69:853–854
  29. Ruuskanen MM, Niinimäki T, Jalovaara P. Results of the surgical treatment of Morton's neuralgia in 58 operated intermetatarsal spaces followed over 6 (2–12) years. Arch Orthop Trauma Surg. 1994;113:78–80
  30. Nissen KI. Plantar digital neuritis, Morton's metatarsalgia. J Bone Joint Surg. 1948;30-B:84–94
  31. Master Techniques in Orthopaedic Surgery. In:  Johnson KA editors. The Foot and Ankle. New York: Raven Press Ltd; 1994;
  32. Thomson CE, Gibson JNA, Martin D. Interventions for the treatment of Morton's neuroma. The Cochrane Database of Systematic Reviews 2004, Issue 1.

PII: S1268-7731(07)00097-5

doi: 10.1016/j.fas.2007.10.004

Foot and Ankle Surgery
Volume 14, Issue 2 , Pages 67-73 , 2008

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