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Surgery for mortons neuroma

Discussion in 'Foot Surgery' started by NewsBot, Sep 26, 2008.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Long-term evaluation of interdigital neuroma treated by surgical excision.
    Womack JW, Richardson DR, Murphy GA, Richardson EG, Ishikawa SN.
    Foot Ankle Int. 2008 Jun;29(6):574-7.
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Neurectomy versus neurolysis for Morton's neuroma.
    Villas C, Florez B, Alfonso M.
    Foot Ankle Int. 2008 Jun;29(6):578-80.
     
  3. drsarbes

    drsarbes Well-Known Member

    "second webspace had worse outcomes than third webspace neuromas ..."

    Think maybe incorrect preoperative Diagnosis?

    I have not seen THAT many 2nd interspace neuromas over the years, but have seen quite a few failed 2nd interspace neuromas resections!!!!
    Coincidence? Maybe.

    My knee jerk response would be that a certain percentage of 2nd Interspace neuromas are done NOT on neuroma patients but on patients with 2nd MTPJ pathology or even non classic Tarsal Tunnel syndromes.

    Steve
     
  4. Alank

    Alank Member

    I agree with Dr. Arbes. We are fortunate to have an excellent radiology dept. at our hospital with high end diagnostic ultrasound equipment and those experienced to read it. They frequently find an intermetatarsal bursa with no neuroma. We have them inject it under US guidance when found. They feel to the patient just like a neuroma. We also find that the US is very good at finding neuromas but not nearly as good at finding inflammatory joint changes. MRI does that better. We recently had a patient seen elsewhere and diagnosed with a 2nd space neuroma that was injected with only brief relief. An MRI showed inflammatory changes in the surrounding soft tissue and MTP joint effusion. He had only mild psoriasis but appears to have been experiencing the first signs of psoriatic arthritis. 2nd MTP joint predislocation syndrome is often misdiagnosed as a 2nd space neuroma.

    I don't recall who said it first but, "The wrong operation, perfectly executed is doomed before the first incision is made."
     
  5. drsarbes

    drsarbes Well-Known Member

    One more thing:

    "BACKGROUND: We examined a large cohort of patients who had interdigital neurectomy and evaluated their clinical outcomes by using a previously developed scoring system as well as a visual analog scale (VAS). In addition, we wanted to identify risk factors that may lead to poorer outcomes. "

    COHORT? Think they could have used a different description, perhaps sampling, population, group, "number", anything.

    LARGE COHORT? I picture a large group of ex military men limping around the mall!

    Steve
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The outcome of Morton's neurectomy in the treatment of metatarsalgia.
    Pace A, Scammell B, Dhar S.
    Int Orthop. 2009 May 30. [Epub ahead of print]
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Results of operative treatment of double Morton's neuroma in the same foot.
    Lee KT, Lee YK, Young KW, Kim HJ, Park SY.
    J Orthop Sci. 2009 Sep;14(5):574-8. Epub 2009 Oct 3.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The outcome after using two different approaches for excision of Morton's neuroma.
    Faraj AA, Hosur A.
    Chin Med J (Engl). 2010 Aug;123(16):2195-2198.
     
  9. W J Liggins

    W J Liggins Well-Known Member

    Hi Steve

    I'm interested. Is not "cohort" the standard descriptor for a sampled population in such a study in the US.A.?

    All the best

    Bill
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Long-Term Results of Neurectomy in the Treatment of Morton's Neuroma: More Than 10 Years' Follow-up
    Kyung Tai Lee et al
    Foot Ankle Spec December 1, 2011

     
  11. drsarbes

    drsarbes Well-Known Member

    13 patients?
    This is too small of a sample to have a study.
    This is a study of patients over a two year period. If you can't come up with more than 13 patients for your study then you shouldn't be performing a study.

    5 patients were satisfied with major reservations.
    What the heck does that mean.

    I hope my tax dollars didn't help pay for this.


    Steve
     
  12. Last week I saw a 62 year old man that I performed a left 3rd intermetatarsal neurectomy on over 25 years ago. He hasn't had pain in this area of his foot since the surgery and thought he thought it was a great surgery for him. Good to see these people after all these years to know that I must have been doing something right during that first year of practice.;)
     
  13. Frederick George

    Frederick George Active Member

    When only half of the cohort send back the questionnaire that tells you something.

    Patients who are unhappy are something like 8 times as likely to respond.

    Cheers
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Surgical treatment of Morton's neuroma: clinical results after open excision.
    Kasparek M, Schneider W.
    Int Orthop. 2013 Jul 13.
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Metatarsal Shortening Osteotomy for Decompression of Morton’s Neuroma
    Eui Hyun Park, Yong Sang Kim, Ho Jin Lee, Yong Gon Koh
    Foot & Ankle International July 26, 2013 1071100713499905
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Minimally invasive endoscopic decompression of the intermatatarsal nerve for Morton's neuroma
    Mitsuaki Kubota et al
    Journal of Orthopaedics; Available online 31 January 2014
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Morton’s neuroma neuro-osteodesis through a plantar approach
    Ahmed Shams, Mohamed M. H. El-Sayed
    European Orthopaedics and Traumatology; July 2014
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Description of Total Population Hospital Admissions for Morton's Metatarsalgia in Australia
    Reza Naraghi, DPM, Alan Bryant, PhD, and Linda Slack-Smith, PhD
    Journal of the American Podiatric Medical Association: September 2014, Vol. 104, No. 5, pp. 451-454.
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Metatarsalgia and Morton's Disease: Comparison of Outcomes Between Open Procedure and Neurectomy Versus Percutaneous Metatarsal Osteotomies and Ligament Release With a Minimum of 2 Years of Follow-Up
    Thomas Bauer, MD, Elodie Gaumetou, MD, Shahnaz Klouche, MD, Philippe Hardy, MD, PhD, Nicola Maffulli, MD, PhD
    The Journal of Foot and Ankle Surgery; Articles in Press
     
  20. Troy Harris

    Troy Harris Member

    I am treating a female with a previously diagnosed 2nd interspace neuroma who received 7 sclerosing injections with temporary relief several months ago, however the pain has recurred. I noticed a positive tinel sign at the tibial nerve at the hindfoot, so ordered an MRI. I don't want to perform neuroma surgery if its tarsal tunnel syndrome instead. I'm awaiting the MRI results.
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Our experience in the surgical treatment of Morton’s metatarsalgia with a minimally invasive surgery technique
    O. Catani, G. Corrado, F. Sergio, M. Zappia, A. D’Apice
    Médecine et Chirurgie du Pied; February 2015
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Corrective Osteotomy of Metatarsal Bone for Surgical Treatment of Morton’s Neuroma
    Intak Chu, Hoseong Jang, Hyun-Woo Park
    J Korean Foot Ankle Soc. 2015;19:58-62
     
  23. TL74

    TL74 Active Member

    Does anyone have any recent research on the difference between a dorsal or plantar incision?
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Simple Neurectomy Versus Neurectomy With Intramuscular Implantation for Interdigital Neuroma
    A Comparative Study

    Chamnanni Rungprai et al
    Foot & Ankle International August 21, 2015
     
  25. Admin2

    Admin2 Administrator Staff Member

  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Transection of the deep metatarsal transverse ligament in Morton’s neuroma surgery does not increase risk of splayfoot development
    Maximilian Kasparek , Wolfgang Schneider
    International Orthopaedics; 07 September 2015
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    OUTCOMES FOLLOWING SURGICAL EXCISION OF INTERDIGITAL MORTON'S NEUROMA: A PROSPECTIVE STUDY
    V. Bucknall, D. Rutherford, D. Macdonald, H. Shalaby, J. McKinley and S. Breusch
    Bone Joint J 2015 vol. 97-B no. SUPP 14 27
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Endoscopic Intermetatarsal Ligament Decompression
    Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S
    Arthroscopy Techniques; Article in Press
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Excision With Interpositional Nerve Grafting: An Alternative Technique for the Treatment of Morton Neuroma.
    Ratanshi, Imran MD, MSc; Hayakawa, Thomas E.J. MD; Giuffre, Jennifer L. MD
    Annals of Plastic Surgery: January 21, 2016
     
  30. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Successful Treatment of Foot and Ankle Neuroma Pain With Processed Nerve Allografts
    Jason M. Souza et al
    Foot & Ankle International June 23, 2016 1071100716655348
     
  31. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Outcomes following excision of Morton’s interdigital neuroma
    a prospective study

    V. Bucknall, D. Rutherford, D. MacDonald, H. Shalaby, J. McKinley, S. J. Breusch
    Bone Joint J 2016;98-B:1376–81.
     
  32. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Endoscopic Interdigital Neurectomy of the Foot
    Tun Hing Lui
    Endoscopy; Article in Press
     
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