CT and MR Imaging of the Postoperative Ankle and Foot.

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Abstract

[Indexed for MEDLINE] 12. Foot Ankle Clin. 2014 Sep;19(3):437-49. doi: 10.1016/j.fcl.2014.06.006. Epub 2014 Jul 17. The recurrent Morton neuroma: what now? Richardson DR(1), Dean EM(2). Author information: (1)Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. Electronic address: drrichardson@campbellclinic.com. (2)Crystal Clinic Orthopaedic Center, 1310 Corporate Drive, Hudson, OH 44236, USA. Interdigital neuromas are a common cause of forefoot pain, and approximately 80% of patients require surgical excision for symptom relief. Although 50% to 85% of patients obtain relief after primary excision, symptoms may recur because of an incorrect diagnosis, inadequate resection, or adherence of pressure on a nerve stump neuroma. The symptom relief rate after reoperation is similar to that after primary excision. A plantar longitudinal incision provides optimal exposure, and transposition of the nerve stump into bone or muscle and avoids traction or pressure on the nerve ending that can result in a painful stump neuroma. Preoperative counseling is essential to align patient expectations with potential outcomes. Copyright © 2014 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2014.06.006