Early Experience with Morton’s Neuroma
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- Category: Vol. 80, December 2012
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Early Experience with Morton’s Neuroma,SAMEH BADRAN, TAMER M. EWADI and AMR ABDALKADER
Abstract
Background: When conservative treatment of a Morton neuroma is unsuccessful, surgical resection or a less invasive steroid injection is indicated. The purpose of the study was to evaluate the functional outcomes and patient satisfaction and, complications, after surgical resection via dorsal approach or local steroid injection of an interdigital neuroma.
Methods: Thirty two consecutive patients who underwent surgical excision or local steroid injection of a Morton neuroma that had been unresponsive to conservative treatment were included in our study. Patients were selected based on The clinical diagnosis was confirmed by means of magnetic resonance imaging and histological analysis. Sixteen patients underwent excision of the neuroma through a dorsal approach; and sixteen patients were treated by local steroid injection, evaluation forms were handled to each patient and patient satisfaction scale was recorded to assess the results of both procedures.
Conclusions: Surgical resection in of interdigital neuro-mata, in properly selected cases demonstrating a positive Mulder sign, or with a neuroma delineated on MRI scans; provides a reasonably safe treatment option with minimal complications.