Results of excision of the interdigital nerve in the treatment of morton's metatarsalgia

Schroven, I; Geutjens, Guido

doi:10.1016/0958-2592(95)90049-7

Cited by 10 publications

(9 citation statements)

References 5 publications

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“…Our study revealed a postoperative success rate of 82% which correlates well with published reports such as that of Keh et al who reported a 93% long-term subjective relief from neurectomy [13]. However, the authors report that many patients complain of some residual discomfort in the region of the surgery and 70% still have some degree of footwear restriction [21]. Numbness in the webspace postoperatively is very common but most patients are unaware of the sensory loss.…”

Section: Discussionsupporting

confidence: 87%

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The outcome of Morton’s neurectomy in the treatment of metatarsalgia

Pace

Scammell

Dhar

2009

International Orthopaedics (SICOT)

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Morton's neuroma is a common cause of metatarsalgia caused by intermetarsal digital nerve thickening. This study reviews the pathology, presentation, symptoms and signs, and patient satisfaction with surgical treatment. Seventy-eight patients (82 feet) were treated for Morton's metatarsalgia by excision of the interdigital nerve. The patients were followed-up for a mean of 4.6 years (range 0.8-8.1 years) and scored using the Foot Functional Index and the American Orthopedic Foot Ankle Society scoring system. In 74 patients the Foot Functional Index was more than 85 (maximum score 100). Seventy-one patients scored more than 90 on the American Orthopedic Foot Ankle Society scoring system with two patients scoring 100 (maximum score). Postoperatively, 82% reported excellent or good results, 10% had a fair result with restriction of activities or pain and 8% had no improvement at all after surgery while 71% had restrictions with footwear.

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Section: Discussionsupporting

confidence: 87%

“…There are only a few studies that reveal the functional outcome and satisfaction of patients after Morton's neurectomy and these studies involve a small cohort of patients [1,13,21].…”

Section: Introductionmentioning

confidence: 99%

The outcome of Morton’s neurectomy in the treatment of metatarsalgia

Pace

Scammell

Dhar

2009

International Orthopaedics (SICOT)

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“…The patients often complained about footwear restriction and numbness in the web space, postoperatively. 13,16 Other investigators 19 reported that 70% of patients still had some degree of footwear restriction that may have been affected by the outcome of surgery in spite of its providing good pain relief. In addition, numbness in the web space postoperatively was reported to range from 38% to 67%.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results of Neurectomy in the Treatment of Morton’s Neuroma

Lee

Kim

Young

et al. 2011

Foot & Ankle Specialist

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“…At the final follow-up, average interdigital neuroma score was found 62 points (range 20 to 70) with a statistically significant improvement compared to prior to surgery. (p<0.05) An excellent interdigital neuroma score was reported in 11 cases Arch Clin Exp Med 2019;4(1): [14][15][16] Morton's neuroma excision using dorsal approach P a g e / S a y f a 16 (41%), good in 13 cases (48%), fair in one patient (4%) and two patients (7%) had a poor result with a similar pain prior to surgery. One of the patients who had poor result was recommended to undergo a revision neuroma excision surgery due to the persistent pain however, the patient did not accept the surgery.…”

Section: Resultsmentioning

confidence: 94%

Dorsal approach for excision of Morton’s interdigital neuroma: A mid-term follow-up study

Çelik

Uzun

2019

Archives of Clinical and Experimental Medicine

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Aim: Morton's neuroma is a paroxysmal neuralgia of forefoot and when nonsurgical treatment is unsuccessful, neuroma excision is indicated. The purpose of the present study was to evaluate the outcomes, complications and existing symptoms following an excision of the neuroma using dorsal approach. Methods: The study evaluated 27 patients (21 women) with an average age of 49 years (range, 24-74) and an average follow-up of 52 months (range, 24-96). The clinical diagnosis was confirmed by history and clinical evaluation. Clinical outcomes were assessed using the interdigital neuroma score and the patients were asked in terms of the level of pain, shoe modification, and sensorial problems. Results: Average interdigital neuroma score improved from 20 to 62 points following the surgery (p<0.05). An excellent interdigital neuroma score was reported in 11 cases (41%), well in 13 (48%) and fair in one patient (4%); and two patients (7%) had a poor result with a similar pain prior to surgery. Numbness was reported in 16 patients (59%) without a restriction in daily life. Seven patients (26%) reported mild limitation with fashionable shoes and one patient (4%) reported severe intolerance in footwear. 19 patients (70%) were completely painfree. Conclusion: Surgical excision via dorsal approach is an effective method for the treatment of Morton's neuroma. In spite of the fact that mild degree shoe modification and numbness were the most common existing symptoms after the surgery, clinical scores were not related to ongoing symptoms.

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Results of excision of the interdigital nerve in the treatment of morton's metatarsalgia

Cited by 10 publications

References 5 publications

The outcome of Morton’s neurectomy in the treatment of metatarsalgia

The outcome of Morton’s neurectomy in the treatment of metatarsalgia

Long-Term Results of Neurectomy in the Treatment of Morton’s Neuroma

Dorsal approach for excision of Morton’s interdigital neuroma: A mid-term follow-up study

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