Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta‐analysis

Zhang, Jiayao; Li, Jing; Cai, Wufeng; Zheng, Kaiwen; Huang, Xihao; Rong, Xin; Li, Qi

doi:10.1186/s13047-023-00660-w

Cited by 3 publications

(2 citation statements)

References 36 publications

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“…Сандел (R.K. Sandel) в 1958 г. в статье о невроме второго межапальцевого промежутка [12]. И по сей день зарубежные и оте чественные коллеги предпочитают использовать название «неврома Мортона» [4,31,32].…”

Section: результатыunclassified

“…Однако в ряде публикаций, начиная с конца XX в., употребляется эпоним Чивинини в названии диагноза [1,32,33,34,35,36]. При этом авторы ссылаются на оригинальную работу, обнаруженную при ремонте больничной библиотеки в 1983 г.…”

Section: результатыunclassified

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“Morton’s Neuroma” — Term Etymology: A Review

Bolshakova,

Kardanov,

Maysigov

et al. 2024

Traumatology and Orthopedics of Russia

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Background. The urgency of the problem is explained by a high morbidity rate and the need to verify the diagnosis with related specialists (ultrasound physicians, radiologists, trauma surgeons, pathologists), as well as by significant difficulties in patient routing and high probability of primary referral to neurologists, neurosurgeons, and general practitioners. In modern Russian literature, neuromas of all interdigital spaces are identified with Morton’s neuroma. Aim of the review was to determine the accuracy of modern medical terminology, in particular of the term «Morton’s neuroma», to reveal the spectrum of eponyms unacceptable for communication with related specialists and patients, to fill the historical gap and to attract the scientific medical community to discussion on this topic. Methods. We identified 40 articles on this topic published from 1845 to 2022. The search was performed in PubMed/MEDLINE and eLIBRARY databases. Results. Evolution, history, and etymology of several terms used for intermetatarsal neuroma are covered in the study, based on the analysis of literature sources. It has been found that a number of eponyms used to designate neuromas are historically inaccurate. In addition, we have discovered that the reports of «nerve fibrosis» were encountered prior to the introduction of the term «neuroma». However, most authors have popularized the nominal term «Morton’s neuromas». Conclusions. An obvious contradiction between the etiopathogenesis of neuroma and the term itself can be confusing for clinicians and diagnosticians. In our opinion, the disease known nowadays as «Morton’s neuroma» should be named «fibrosis of the plantar nerve of the third toe», and the name terms denoting the number of the corresponding interdigital space should be replaced by the number of the corresponding common plantar digital nerve.

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Section: результатыunclassified

“Morton’s Neuroma” — Term Etymology: A Review

Bolshakova,

Kardanov,

Maysigov

et al. 2024

Traumatology and Orthopedics of Russia

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Plantar intermetatarsal perforator flap for first web skin‐graftless syndactyly release: Anatomical study and clinical application

Soldado,

Prieto‐Mere,

Cherqaoui

et al. 2024

Microsurgery

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IntroductionFoot‐syndactyly has long been managed through conventional surgical procedures, each having its own distinct advantages and drawbacks. While these methods, which do not require skin grafts, exhibit a lower incidence of long‐term complications, they lead to undesirable scarring on the dorsal side of the foot and reduced patient satisfaction. In this study, we introduce an innovative technique involving an intermetatarsal plantar flap, supported by an anatomical investigation and clinical application.MethodsEight freshly preserved lower limbs were injected with colored latex to examine the cutaneous vessels on the plantar surface, a skin‐flap was designed in an elliptical shape to address first web conjoined toes. The flap was extended from the center of each affected ray measuring ~30% of the sole's length. Using the mentioned novel approach, a flap was created and dorsally extended with a straight incision to release bilateral simple foot‐syndactyly in an 8‐year‐old child presented with Apert's Syndrome.ResultsWe identified cutaneous branches originating either from the medial plantar vessels or the lateral proper artery of the hallux. On average, the mean number of cutaneous branches found over the first intermetatarsal web spaces was 5.8 (ranging from 5 to 8) most of them originating from medial plantar vessels with a mean of 5.1 branches (range 4–6) while proper lateral great‐toe digital artery provided a mean of 0.6 branches (range 0–2). Intra‐operatively, in our patient, advancing the plantar flap ensured complete coverage of the commissure, obviating the necessity for skin grafts. Incisions healed uneventfully and a wide first web was obtained. Over a 15 months follow‐up, no complications were observed.ConclusionsOur findings suggest that the skin‐graftless first web release of syndactyly using a plantar intermetatarsal flap is a reliable and straightforward procedure with good cosmetic results, offering a promising alternative to conventional techniques.Level of evidenceTherapeutic IV.

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