Abstract
Morton’s Neuroma is a common metatarsalgia in athletes created due to the entrapment of the inter-digital nerve inside the transverse inter-metatarsal ligament. The purpose of the present study is to draw the necessary conclusions from the use of a particular surgical treatment to release the digital nerve, accompanied by neurolysis in adults who exercise. On the whole, twenty five patients with twenty-five suffering extremities were treated. Five of them simultaneously had a Hallux Valgus type deformity and that supports the belief of the mechanical induce of this condition. Both ultrasonography and Magnetic Resonance Imaging (MRI) were used for the clinical evaluation of this condition. The pain was estimated via the Visual Analogue Scale (VAS). The patients were re-examined after three (1st postoperative), twelve (2nd postoperative) and twenty-four (3rd postoperative) months. A significant improvement (p 0.0001) was noticed from the correlation between the pain before the surgery and the pain after the surgery via the Visual Analogue Scale (VAS). Most patients (15/25) did not display any discomfort or sensory disorder after surgery. The correct clinical evaluation as well as the correct and effective surgical intervention with the simultaneous repair of all the mechanical deformities of the foot provided better post-surgery progress in patients and increased the percentage of their rehabilitation of their previous activities.
Highlights
Morton’s neuroma is mostly a mechanically-induced degenerative neuropathy which is most frequently found in the third inter-digital nerve [1,2]
The pain was estimated via the Visual Analogue Scale (VAS)
The main causes of Morton’s neuroma remain vague. It is probably a form of compressive peripheral neuropathy which is related to the excessive use of inappropriate footwear and it is most frequently seen in people, such as runners and ballet dancers, who participate in sports activities that include high strain on the foot [3,4]
Summary
Morton’s neuroma is mostly a mechanically-induced degenerative neuropathy which is most frequently found in the third inter-digital nerve [1,2]. The main causes of Morton’s neuroma remain vague It is probably a form of compressive peripheral neuropathy which is related to the excessive use of inappropriate footwear and it is most frequently seen in people, such as runners and ballet dancers, who participate in sports activities that include high strain on the foot [3,4]. The symptoms are not immediately noticeable by the athletes who are used to feeling such discomfort during preparation, training or a competition. As a result they go to a specialist only in serious and persisting cases [4,5]. Morton’s neuroma is usually seen in runners when the third metatarsal joint is extended more than the fourth metatarsal joint [4]
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