#21
JOURNAL ARTICLE
Andrea Sallent, Geronimo Methol, Marta Altayo, Diego Soza, Gemma Duarri, Ignacio Maled, Rosa Busquets
BACKGROUND: The second webspace syndrome (SWS) refers to the progressive divergence between 2nd and 3rd toes associated with pain at the second intermetatarsal space that can be confused with Morton's neuroma and treated as such without considering the underlying deformity. There is yet no consensus regarding the best treatment, from isolated soft tissue or bony procedures or a combination of both. The objective of this study was to describe the clinical characteristics of the disease, as well as to evaluate the radiological outcomes of patients with SWS treated with open Weil's osteotomy or distal metatarsal minimal invasive osteotomy (DMMO) of the second metatarsal, with main emphasis on medialization of the head in the anteroposterior plane in either procedure...
February 2023: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
#22
JOURNAL ARTICLE
Kara Klomparens, Richard Simman
UNLABELLED: Autologous fat grafting (AFG) has been used in reconstructive plastic surgery for over a century. Although it has obvious benefits to the aesthetic appearance of many reconstructive surgeries, less appreciated advantages of fat grafting have also been shown in potential pain reduction. This can be seen across the board from head to toe with examples ranging from facial nerve injury to pedal atrophy and foot ulcers. The purpose of this literature review is to evaluate the efficacy of AFG for pain relief in various indications and serve as a reference for clinicians to gain insight on potentially beneficial therapies for their patients...
November 2022: Plastic and Reconstructive Surgery. Global Open
#23
REVIEW
Miranda J Rogers, Joshua R Daryoush, Nikolas H Kazmers
No abstract text is available yet for this article.
December 2022: Foot & Ankle International
#24
JOURNAL ARTICLE
Bosung N Titanji, Valeriy Shubinets, Aviram M Giladi, Eitan Melamed
BACKGROUND: Symptomatic, post-resection interdigital neuroma is a frustrating problem that causes debilitating foot pain. Implementing the concepts of targeted muscle innervation (TMR), this study offers a novel nerve transfer involving the resected third common plantar digital nerve (CPDN) to the motor nerve branch of the third dorsal interosseous muscle (DIMB) to improve post-resection pain. METHODS: Ten fresh feet from seven cadaveric donors were used for this study...
October 11, 2022: Plastic and Reconstructive Surgery
#25
JOURNAL ARTICLE
Wenpeng Xu, Ning Zhang, Zhengxun Li, Yifan Wang, Xiucun Li, Yang Wang, Haipeng Si, Yong Hu
BACKGROUND: Morton's neuroma is a painful enlargement of the plantar digital nerve between the metatarsal heads that causes pain of the forefoot. Several approaches have been used to treat Morton's neuroma, each of them having distinct advantages and disadvantages. OBJECTIVES: The purpose of this study was to investigate and compare the clinical outcomes of neurectomy in the treatment of Morton's neuroma through plantar and dorsal approaches. MATERIALS AND METHODS: A total of 20 patients with a mean age of 48...
October 6, 2022: BMC Musculoskeletal Disorders
#26
JOURNAL ARTICLE
Baofu Wei, Chuansheng Fu, Peiting Liu, Longbin Bai, Kai Rong
The contents of the plantar intermetatarsal tunnel (PIMT) and the relationship between the common plantar interdigital nerve (CPIN) and the PIMT were recorded. The width of the PIMT was measured at the metatarsal neck (MTN), metatarsophalangeal (MTP) joint and the base of the proximal phalanx (BPP). The length of the deep transverse metatarsal ligament (DTML), the PIMT and the intracapsular ligament (ICL) were also measured. The PIMT was revealed to be a narrow osseofibrous tunnel divided into 3 segments by the DTML: the distal section, the area under the DTML (middle) and the proximal section...
2023: Journal of Foot and Ankle Surgery
#27
JOURNAL ARTICLE
Ting-Hu Zhao, Han-Xin Chen, Bin Jia, Yun-Bo Bai, Jike Lu, Wei Ren
PURPOSE: The most popular surgical approach to manage Lisfranc fracture-dislocations is the double-incision approach, which frequently causes a variety of complications, such as skin necrosis, rotational malreduction of the first tarsometatarsal joint (TMTJ) and lateral column dorsoplantar malreduction of the TMTJ. We introduce a three-incision approach to treat Lisfranc fracture-dislocations with only minor postoperative complications and good foot function. METHODS: We prospectively selected 30 previously healthy patients, ranging from 18 to 60 years of age, but only 23 patients completed the follow-up, with an average age of 38...
August 1, 2022: Chinese Journal of Traumatology
#28
JOURNAL ARTICLE
Lavan Rajan, Rami Mizher, Syian Srikumar, Robert Fuller, Scott J Ellis
BACKGROUND: Revision neurectomy may be approached with either a dorsal or a plantar incision. Although a plantar approach is more commonly described, few studies have investigated outcomes following a dorsal revision neuroma excision. In this study, we performed a case series on a group of patients who underwent revision neuroma excision through a dorsal approach and reported complications and outcomes using validated patient-reported outcome measures (PROMs). METHODS: This retrospective case series included 10 patients who underwent a dorsal-approach revision neuroma excision and had preoperative and minimum 1-year postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) scores...
August 5, 2022: Foot & Ankle Specialist
#29
JOURNAL ARTICLE
Craig H Thomajan
Compression and irritation at the plantar aspect of the transverse intermetatarsal ligament may lead to a compressive neuropathy called Morton's neuroma. There are many treatment options for Morton's neuroma, with the most common surgical option being traction neurectomy. While there has been success in many surgical procedures, up to 35% of patients treated with traction neurectomy have recurrent pain and up to one-third of these patients have a recurrent stump neuroma. These neuromas are caused by abnormal axonal growth during regeneration, leading to an unorganized mass of fibrotic collagenous tissues, Schwann cells, and axons...
July 1, 2022: Foot & Ankle Specialist
#30
Abimbola O Ajibowo, Ojali R Unedu, Sheena Shiwlani, Olufemi S Ogunyemi, Toluwalope F Ejiyooye, Aadil Khan
Schwannoma is a rare benign soft tissue tumor that appears like a neuroma based on its specific location and clinical features. We report a case of a plexiform schwannoma in a middle-aged woman who had a painful bump located in the third webspace on the dorsum of her right foot for the last four years. Initially, the swelling was thought to be Morton's neuroma based on location and clinical feature findings. The mass was resected and was sent for histopathological examination, revealing a plexiform schwannoma, most likely developing from the cutaneous nerves on the dorsum of the foot...
May 2022: Curēus
#31
RANDOMIZED CONTROLLED TRIAL
Fernando Ruiz Santiago, Pablo Tomás Muñoz, Antonio Jesús Láinez Ramos-Bossini, Alberto Martínez Martínez, Nicolás Prados Olleta
OBJECTIVES: This work compares the effectiveness of blind versus ultrasound (US)-guided injections for Morton neuroma (MN) up to 3 years of follow-up. METHODS: This is an evaluator-blinded randomised trial in which 33 patients with MN were injected by an experienced orthopaedic surgeon based on anatomical landmarks (blind injection, group 1) and 38 patients were injected by an experienced musculoskeletal radiologist under US guidance (group 2). Patients were assessed using the visual analogue scale and the Manchester Foot Pain and Disability index (MFPDI)...
December 2022: European Radiology
#32
JOURNAL ARTICLE
María Del Mar Ruiz-Herrera, Félix Marcos-Tejedor, Alberto Aldana-Caballero, César Calvo-Lobo, David Rodriguez-Sanz, Simone Moroni, Marko Konschake, Alicia Mohedano-Moriano, Javier Aceituno-Gómez, Juan José Criado-Álvarez
Insufficient space below the Deep Transverse Metatarsal Ligament (DTML) could be an etiological factor for Morton's Neuroma (MN). To date, there is a lack of studies measuring the space below the DTML. For this reason, this study assesses the intra- and inter-rater concordance and reproducibility of measurements of the space below the DTML between the third and the fourth metatarsal heads (M3 and M4) using ultrasound imaging to assess and verify the reliability and reproducibility of measurements of the space under the DTML...
May 2, 2022: Journal of Clinical Medicine
#33
JOURNAL ARTICLE
Alexander J Pocwierz, Emily R Dumford, Zachary Gumble, Allison J Hess, Makaela Quinn, Matthew J Zdilla, H Wayne Lambert
The dorsomedial cutaneous nerve of the hallux (DMCN) provides sensation to the skin of the dorsomedial hallux (big toe) and the first metatarsophalangeal joint. This cutaneous nerve, a terminal branch of the superficial fibular (peroneal) nerve, is located in the dorsum of the foot and crosses the extensor hallucis longus (EHL) tendon during its course. At this intersection point, the DMCN is at risk for injury during operations of the hallux and metatarsophalangeal joint including EHL tendon transfer, hallux valgus or hallux rigidus corrections, bunionectomy, cheilectomy, or injection procedures...
May 2022: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
#34
JOURNAL ARTICLE
Hossein Ettehadi, Nikiforos Pandelis Saragas, Paulo Ferrao
Interdigital neuroma is one of the commonest causes of metatarsalgia. The reported success rate after excision of a primary neuroma is 74%. Recurrent symptoms after neurectomy can be due to a recurrent interdigital neuroma. Recurrent interdigital neuromas can be diagnosed using sound clinical examination and ultrasonography. Surgical excision is the best treatment modality with varying success reported in the literature. We report on the clinical outcome following surgical excision of recurrent interdigital neuromas through a dorsal approach...
March 31, 2022: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
#35
JOURNAL ARTICLE
Maurise Saur, Lorena Bejarano-Pineda, Irène Ollivier, Guillaume Koch, Philippe Clavert
BACKGROUND: Surgical treatment of Morton's neuroma remains controversial. Several surgical techniques have been described including percutaneous transection of the deep metatarsal transverse ligament (DMTL). PURPOSE: To evaluate the efficacy and safety of percutaneous release of the DMTL under ultrasound guidance for the treatment of Morton's syndrome. MATERIALS AND METHODOLOGY: Percutaneous release of the DMTL was performed with ultrasound guidance in 48 intermetatarsal spaces of 16 cadaveric specimens...
March 17, 2022: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
#36
JOURNAL ARTICLE
Jun Young Choi, Min Jin Kim, Jin Soo Suh
No abstract text is available yet for this article.
January 2022: Foot & ankle orthopaedics
#37
JOURNAL ARTICLE
Zaki Arshad, Awf Alshahwani, Maneesh Bhatia
No abstract text is available yet for this article.
January 2022: Foot & ankle orthopaedics
#38
JOURNAL ARTICLE
Lindsay A Carroll, Stephen Paulseth, RobRoy L Martin
Despite the prevalence of forefoot related problems in athletes, there are few comprehensive summaries on examination and intervention strategies for those with forefoot related symptoms. While many factors may contribute to pathology and injury, the presence of abnormal foot alignment can negatively affect lower extremity biomechanics and be associated with injuries. Physical therapists may use the characteristics associated abnormal pronation or abnormal supination to describe the movement system disorder and serve as a guide for evaluating and managing athletes with forefoot pathologies...
2022: International Journal of Sports Physical Therapy
#39
JOURNAL ARTICLE
Hye Min Son, Jee Won Chai, Yong Hee Kim, Dong Hyun Kim, Hyo Jin Kim, Jiwoon Seo, Sung Moon Lee
Ultrasonography (US) is a useful diagnostic method that can be easily applied to identify the cause of metatarsalgia. The superficial location of structures in the foot, dynamic capability of US, and the ability to perform direct real-time evaluations of the pain site are also strong advantages of US as a modality for examining the foot. Moreover, knowing the possible pain sources to investigate when a patient has a specific site of pain will enhance the diagnostic quality of US, and will help radiologists to perform US efficiently and effectively...
April 2022: Ultrasonography
#40
JOURNAL ARTICLE
Tengku Nazim B Tengku Yusof, Dexter Seow, Khushdeep S Vig
BACKGROUND: Extracorporeal shockwave therapy (ESWT) was first introduced into clinical practice in 1982 and has been a beneficial inclusion to the noninvasive treatment option of numerous orthopaedic pathologies. However, clinical evidence of the use of ESWT for various foot and ankle disorders has been limited with a consensus on its efficacy yet available. Therefore, the purpose of this study is to systematically review the literature, to provide a critical evaluation and meta-analysis for the use of ESWT in foot and ankle disorders...
2022: Journal of the American Podiatric Medical Association
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