Abstract
An illustrated case with Morton's metatarsalgia is presented. MR imaging was helpful for determining the presence, location and magnitude of intermetatarsal neuroma. Moreover, it had a large influence on the differential diagnostic thinking because many disorders may produce forefoot complaints mimicking Morton's metatarsalgia.
Highlights
One of the most common causes of metatarsalgia, intermetatarsal or interdigital neuroma, consists in a degenerative alteration of one or more plantar intermetatarsal nerves and is considered a mechanical neuropathy with compression, stretching, and entrapment components in its etiology (4).The syndrome was first described by Morton, who described “a peculiar and painful affection of the fourth metatarsophalangeal articulation’’ back in 1876 (3).The diagnosis is usually made during the history and physical examination alone
When the diagnosis is in doubt, a magnetic resonance (MR) imaging may be useful to confirm the neuroma and to rule out numerous other soft-tissue, bone and joint processes
Our case demonstrates that MR imaging is suitable for the evaluation of patients with forefoot complaints
Summary
Democritus University of Thrace, Medical School, Alexandroupolis, Greece: Department of Neurosurgery. Summary: An illustrated case with Morton’s metatarsalgia is presented. MR imaging was helpful for determining the presence, location and magnitude of intermetatarsal neuroma. It had a large influence on the differential diagnostic thinking because many disorders may produce forefoot complaints mimicking Morton’s metatarsalgia
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