medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2017, Number 3

<< Back Next >>

Acta Ortop Mex 2017; 31 (3)

Assessment of pain, function and complications after minimelly invasive decompression of morton´s neuroma using a dorsal approach in 16 patients

Sancho-Barroso F, Strassburger-Weidmann J, Castillo-Anaya V

Language: Spanish
References: 12
Page: 113-117
PDF size: 306.24 Kb.


ABSTRACT

Background: The purpose of this paper is to assess pain, function and complications after decompression of Morton’s neuroma using a minimally invasive dorsal approach. Method and results: 16 patients who underwent 19 decompressions were followed-up for 18 months. Pain was assessed with the visual analog scale (VAS), and function was assessed with the American Orthopedic Foot and Ankle Society (AOFAS) scale. Data was analyzed with the Student t test for related samples, which yielded a p value ‹ 0.05. The possible postoperative complications assessed were: skin problems, infections, wound dehiscence, delayed bone healing and recurrence. Conclusion: Minimally invasive decompression of Morton’s neuroma is a procedure that provides pain relief and improvement in function, with a low complication rate.


REFERENCES

  1. Gutiérrez-Mendoza I, López-Almejo L, Clifton-Correa JF, Navarro-Becerra E, Villarruel-Sahagún JÁ, Zermeño-Rivera JJ, et al: Neuroma de Morton. Ortho-tips. 2014; 10(2): 117-123.

  2. Bauer T, Gaumetou E, Klouche S, Hardy P, Maffulli N: 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. J Foot Ankle Surg. 2015; 54(3): 373-7.

  3. Larson EE, Barrett SL, Battiston B, Maloney CT Jr, Dellon AL: Accurate nomenclature for forefoot nerve entrapment: a historical perspective. J Am Podiatr Med Assoc. 2005; 95(3): 298-306.

  4. Clinical Practice Guideline Forefoot Disorders Panel, Thomas JL, Blitch EL 4th, Chaney DM, Dinucci KA, Eickmeier K, et al: Diagnosis and treatment of forefoot disorders. Section 3. Morton’s intermetatarsal neuroma. J Foot Ankle Surg. 2009; 48(2): 251-6.

  5. Pomeroy G, Wilton J, Anthony S: Entrapment neuropathy about the foot and ankle: an update. J Am Acad Orthop Surg. 2015; 23(1): 58-66.

  6. Thomson CE, Gibson JN, Martin D: Interventions for the treatment of Morton’s neuroma. Cochrane Database Syst Rev. 2004; (3): CD003118.

  7. Magnan B, Bondi M, Mezzari S, Bonetti I, Samaila E: Minimally invasive surgery of the forefoot: current concept review. International Journal of Clinical Medicine. 2013; 4(6A): 11-9.

  8. Paolo R, Roberto A, Mihai B: Radiofrequency thermo-ablation of Morton’s neuroma: a valid minimally invasive treatment procedure in patients resistant to conservative treatment. Open Journal of Orthopedics. 2013; 3(8): 325-30.

  9. Coughlin MJ, Pinsonneault T: Operative treatment of interdigital neuroma. A long-term follow-up study. J Bone Joint Surg Am. 2001; 83-A(9): 1321-8.

  10. Zelent ME, Kane RM, Neese DJ, Lockner WB: Minimally invasive Morton’s intermetatarsal neuroma decompression. Foot Ankle Int. 2007; 28(2): 263-5.

  11. Kubota M, Ohno R, Ishijima M, Hanyu R, Sakai K, Sugawara Y, et al: Minimally invasive endoscopic decompression of the intermatatarsal nerve for Morton’s neuroma. J Orthop. 2014; 12(Suppl 1): S101-4.

  12. Barrett S, Rabat E, Buitrago M, Rascon V, Applegate P: Endoscopic decompression of intermetatarsal nerve (EDIN) for the treatment of Morton’s entrapment —multicenter retrospective review. Open Journal of Orthopedics. 2012; 2(2): 19-24.




2020     |     www.medigraphic.com