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著者: Francesco Di Caprio, Renato Meringolo, Marwan Shehab Eddine, Lorenzo Ponziani
雑誌名: Foot Ankle Surg. 2018 Apr;24(2):92-98. doi: 10.1016/j.fas.2017.01.007. Epub 2017 Feb 4.
Abstract/Text
Morton's neuroma is one of the most common causes of metatarsalgia. Despite this, it remains little studied, as the diagnosis is clinical with no reliable instrumental diagnostics, and each study may deal with incorrect diagnosis or inappropriate treatment, which are difficult to verify. The present literature review crosses all key points, from diagnosis to surgical and nonoperative treatment, and recurrences. Nonoperative treatment is successful in a limited percentage of cases, but it can be adequate in those who want to delay or avoid surgery. Dorsal or plantar approaches were described for surgical treatment, both with strengths and weaknesses that will be scanned. Failures are related to wrong diagnosis, wrong interspace, failure to divide the transverse metatarsal ligament, too distal resection of common plantar digital nerve, an association of tarsal tunnel syndrome and incomplete removal. A deep knowledge of the causes and presentation of failures is needed to surgically face recurrences.
Copyright © 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
PMID 29409221 Foot Ankle Surg. 2018 Apr;24(2):92-98. doi: 10.1016/j.fas.2017.01.007. Epub 2017 Feb 4.
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