Neuroma di Morton: le tecniche mini-invasive

Abstract

Morton’s neuroma is a very common cause of forefoot pain. It is a clinical syndrome of the forefoot and it has often been described in the last two centuries. It was first reported by Civinini in 1835. Morton’s neuroma usually shows a higher prevalence in women and it is most frequently located at the third intermetatarsal space. Diagnosis is mainly based on clinical and ultrasound examination. MRI can be useful to confirm the diagnosis or in atypical cases. The correct treatment has been advocated for years. Open neurectomy results in reliable relief of nerve compression symptoms; however, in the last few years new minimally invasive surgical techniques have been developed to release the interdigital nerve without performing open neurectomy. The results of these techniques have been favourable but the literature is still incomplete and more studies will be necessary to thoroughly compare open versus mini-invasive techniques.