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Isolated Intermetatarsal Ligament Release as Primary Surgical Management for Morton’s Neuroma: the Carpal Tunnel of the Foot?

机译:孤立的韧带间韧带释放作为莫顿神经瘤的主要外科治疗方法:足腕隧道?

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Category:Midfoot/ForefootIntroduction/Purpose:While the precise pathoetiology of Morton’s neuroma remains unclear, nerve inflammation as a result of chronic entrapment from the overlying intermetatarsal ligament (IML) may play a role. Traditional surgical management involved common digital nerve transection with neuroma excision, but this procedure risks unpredictable formation of a stump neuroma and potential worsening of symptoms. Accordingly, the senior author has over the past six years espoused isolated IML release and common digital nerve decompression in lieu of nerve transection or neuroma excision as an alternative treatment strategy. We hypothesized that IML release offers effective pain relief and high patient satisfaction level as a surgical treatment for recalcitrant Morton’s neuroma without the risk of stump neuroma formation or symptom exacerbation.Methods:Medical records for all consecutive patients treated surgically with isolated single interspace IML release for symptomatic and recalcit...
机译:类别:中足/前脚简介/目的:虽然莫顿神经瘤的确切病理学仍不清楚,但由于上覆间膜韧带(IML)长期夹带神经炎可能起一定作用。传统的外科手术处理包括切除神经瘤并切除普通的数字神经,但是这种方法冒着无法预测的残端神经瘤形成和潜在的症状恶化风险。因此,在过去的六年中,这位资深作者支持孤立的IML释放和常见的数字神经减压术代替神经横切术或神经瘤切除术作为替代治疗策略。我们假设IML释放作为难治性莫顿神经瘤的手术治疗可有效缓解疼痛并具有较高的患者满意度,而没有残端神经瘤形成或症状加重的风险。对症和顽固...

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