Morton’s Neuroma

Rodrigo Melo Grollmus; Cristián Ortiz Mateluna

doi:10.1007/978-3-030-95738-4_22

Morton’s Neuroma

Rodrigo Melo Grollmus^*, Cristián Ortiz Mateluna

^*Corresponding author for this work

Universidad de los Andes

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Morton’s neuroma is one of the most frequent causes of metatarsalgia, which mostly affects the third interosseous space. It is usually unilateral, but even in 15-21% of the cases, it is bilateral. On the other hand, the involvement of simultaneous adjacent spaces is rare. The most common symptom is pain of the neurotic type. Despite the fact that the diagnosis is eminently clinical, imaging studies look for thickening and/or increase in size of the interdigital plantar nerve and rule out differential diagnosis. The recommended studies are ultrasonography (US) and magnetic resonance imaging (MRI). The initial treatment is conservative, using footwear modification, insoles, and corticoid infiltration. Surgical treatment consists in the neuroma resection (neurectomy) by means of a dorsal approach, being the most effective method in our experience for this pathology. If symptoms relapse, revision surgery through a plantar approach is recommended to allow nerve plantar branch identification and resection (more frequent cause for symptoms relapse).

Original language	English
Title of host publication	Foot and Ankle Disorders
Subtitle of host publication	A Comprehensive Approach in Pediatric and Adult Populations
Publisher	Springer International Publishing
Pages	493-516
Number of pages	24
ISBN (Electronic)	9783030957384
ISBN (Print)	9783030957377
DOIs	https://doi.org/10.1007/978-3-030-95738-4_22
State	Published - 1 Jan 2022

Bibliographical note

Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Keywords

Interdigital neuralgia
Interdigital neuritis
Interdigital plantar neuroma
Morton’s metatarsalgia
Morton’s neuroma
Plantar neuroma

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10.1007/978-3-030-95738-4_22

Cite this

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title = "Morton{\textquoteright}s Neuroma",

abstract = "Morton{\textquoteright}s neuroma is one of the most frequent causes of metatarsalgia, which mostly affects the third interosseous space. It is usually unilateral, but even in 15-21\% of the cases, it is bilateral. On the other hand, the involvement of simultaneous adjacent spaces is rare. The most common symptom is pain of the neurotic type. Despite the fact that the diagnosis is eminently clinical, imaging studies look for thickening and/or increase in size of the interdigital plantar nerve and rule out differential diagnosis. The recommended studies are ultrasonography (US) and magnetic resonance imaging (MRI). The initial treatment is conservative, using footwear modification, insoles, and corticoid infiltration. Surgical treatment consists in the neuroma resection (neurectomy) by means of a dorsal approach, being the most effective method in our experience for this pathology. If symptoms relapse, revision surgery through a plantar approach is recommended to allow nerve plantar branch identification and resection (more frequent cause for symptoms relapse).",

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author = "Grollmus, \{Rodrigo Melo\} and Mateluna, \{Cristi{\'a}n Ortiz\}",

note = "Publisher Copyright: {\textcopyright} The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.",

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doi = "10.1007/978-3-030-95738-4\_22",

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AU - Mateluna, Cristián Ortiz

N1 - Publisher Copyright: © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

PY - 2022/1/1

Y1 - 2022/1/1

N2 - Morton’s neuroma is one of the most frequent causes of metatarsalgia, which mostly affects the third interosseous space. It is usually unilateral, but even in 15-21% of the cases, it is bilateral. On the other hand, the involvement of simultaneous adjacent spaces is rare. The most common symptom is pain of the neurotic type. Despite the fact that the diagnosis is eminently clinical, imaging studies look for thickening and/or increase in size of the interdigital plantar nerve and rule out differential diagnosis. The recommended studies are ultrasonography (US) and magnetic resonance imaging (MRI). The initial treatment is conservative, using footwear modification, insoles, and corticoid infiltration. Surgical treatment consists in the neuroma resection (neurectomy) by means of a dorsal approach, being the most effective method in our experience for this pathology. If symptoms relapse, revision surgery through a plantar approach is recommended to allow nerve plantar branch identification and resection (more frequent cause for symptoms relapse).

AB - Morton’s neuroma is one of the most frequent causes of metatarsalgia, which mostly affects the third interosseous space. It is usually unilateral, but even in 15-21% of the cases, it is bilateral. On the other hand, the involvement of simultaneous adjacent spaces is rare. The most common symptom is pain of the neurotic type. Despite the fact that the diagnosis is eminently clinical, imaging studies look for thickening and/or increase in size of the interdigital plantar nerve and rule out differential diagnosis. The recommended studies are ultrasonography (US) and magnetic resonance imaging (MRI). The initial treatment is conservative, using footwear modification, insoles, and corticoid infiltration. Surgical treatment consists in the neuroma resection (neurectomy) by means of a dorsal approach, being the most effective method in our experience for this pathology. If symptoms relapse, revision surgery through a plantar approach is recommended to allow nerve plantar branch identification and resection (more frequent cause for symptoms relapse).

KW - Interdigital neuralgia

KW - Interdigital neuritis

KW - Interdigital plantar neuroma

KW - Morton’s metatarsalgia

KW - Morton’s neuroma

KW - Plantar neuroma

UR - https://www.scopus.com/pages/publications/85158921412

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SN - 9783030957377

SP - 493

EP - 516

BT - Foot and Ankle Disorders

PB - Springer International Publishing

ER -

Morton’s Neuroma

Abstract

Bibliographical note

Keywords

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