Differentiated tactics of surgical treatment of Morton’s neuroma
Abstract
Morton’s neuroma is a benign space-occupying mass (not a true tumor) of the common plantar digital nerve, which most often occurs in the third intertarsal space. A pathologically altered intertarsal ligament of the foot leads to compression and ischemia of the nerve, which may be the pathogenesis of the development of Morton’s neuroma.
GOAL. To improve the results of surgical treatment of Morton’s neuroma.
RESULTS. Ultrasound of the plantar surface of the feet in all 30 (100 %) patients revealed Morton’s neuroma. All patients underwent surgical treatment. In the analysis of pain scale data, the median pain score was 7.0 points, which is in the range of intense pain (i. e., more than 50.0 % of patients experienced intense pain). Conducting a correlation analysis of data from a numerical rating scale for assessing pain and the maximum intraoperative and ultrasonic dimensions (length) of formations did not reveal a significant relationship (in both cases, rS = 0.1, P > 0.05).
About the Authors
A. Yu. Orlov
Russian Research Neurosurgical Institute named afte prof. A. L. Polenov» — a branch of the Federal State Budgetary
Institution «N.M. V. A. Almazov» Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Orlov Andrey Yuryevich
St. Petersburg
A. S. Nazarov
Russian Research Neurosurgical Institute named afte prof. A. L. Polenov» — a branch of the Federal State Budgetary
Institution «N.M. V. A. Almazov» Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Nazarov Alexander Sergeevich
St. Petersburg
Yu. V. Belyakov
Russian Research Neurosurgical Institute named afte prof. A. L. Polenov» — a branch of the Federal State Budgetary
Institution «N.M. V. A. Almazov» Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Belyakov Yuri Vladimirovich
St. Petersburg
A. E. Oleynik
Russian Research Neurosurgical Institute named afte prof. A. L. Polenov» — a branch of the Federal State Budgetary
Institution «N.M. V. A. Almazov» Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Oleynik Ekaterina Anatolyevna
St. Petersburg
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Review
For citations:
Orlov A.Yu., Nazarov A.S., Belyakov Yu.V., Oleynik A.E. Differentiated tactics of surgical treatment of Morton’s neuroma. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(2):108-111. (In Russ.)
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