Estudo retrospectivo do tratamento cirúrgico do neuroma de morton por via plantar

With an eye to evaluate the surgical technic efficiency - neurectomy by plantar approach -, 19 patients with Morton's neuroma were submitted to this treatment. Therefore, were 19 neuroma patients including 84,3% female, 15,7% male; 31,5% in second intermetatarsal space, 68,5% in third; 47,3% on right side and 52,7% on left side. The surgery was made by plantar approach in every cases, with middle time of attendance around 9 months, and the result was considered satisfactory on 89,5% of patients. The time of return to activities was 6 weeks on 84,2%. Two patients were considered unsatisfied, both because of remain pain under the scar. The authors conclude that, a neurectomy by plantar approach is satisfactory, because there is a better exposition of neuroma, good healing, fast return to activities and improve of pain.

[1]  J. Willmann,et al.  Morton neuroma: MR imaging in prone, supine, and upright weight-bearing body positions. , 2003, Radiology.

[2]  Joseph S. Yu,et al.  Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. , 2001, Radiographics : a review publication of the Radiological Society of North America, Inc.

[3]  Z. Rosenberg,et al.  From the RSNA Refresher Courses. Radiological Society of North America. MR imaging of the ankle and foot. , 2000, Radiographics : a review publication of the Radiological Society of North America, Inc.

[4]  K. Wu.  Morton neuroma and metatarsalgia. , 2000, Current opinion in rheumatology.

[5]  W. Smith,et al.  From the Archives of the AFIP Imaging of Musculoskeletal Neurogenic Tumors : Radiologic-Pathologic Correlation 1 , 1999 .

[6]  J. Monill,et al.  MR imaging of benign soft-tissue masses of the foot and ankle. , 1998, Radiographics : a review publication of the Radiological Society of North America, Inc.

[7]  R. Nery.  Tratamento do neuroma de Morton pela via plantar: avaliação dos resultados cirúrgicos* , 1998 .

[8]  Paulo Brandão.  Neuroma de Morton: diagnóstico pela ressonância magnética* , 1997 .

[9]  M. Zanetti,et al.  Morton neuroma and fluid in the intermetatarsal bursae on MR images of 70 asymptomatic volunteers. , 1997, Radiology.

[10]  P. Colletti,et al.  Morton neuroma: evaluation with MR imaging performed with contrast enhancement and fat suppression. , 1993, Radiology.

[11]  J. Hyde,et al.  Interdigital (Morton) neuroma: high-resolution MR imaging with a solenoid coil. , 1991, Radiology.

[12]  M. Rifkin,et al.  Morton neuroma: sonographic evaluation. , 1989, Radiology.

[13]  K. A. Johnson,et al.  Persistent pain after excision of an interdigital neuroma. Results of reoperation. , 1988, The Journal of bone and joint surgery. American volume.