Study of the Anatomical Association between Morton’s Neuroma and the Space Inferior to the Deep Transverse Metatarsal Ligament Using Ultrasound

Ruiz-Herrera, María del Mar; Criado-Álvarez, J.J.; Suarez-Ortiz, Mario; Konschake, Marko; Moroni, Simone; Tejedor, Félix Marcos

doi:10.3390/diagnostics12061367

Cited by 3 publications

(3 citation statements)

References 34 publications

(44 reference statements)

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“…The most probable cause is a constriction at the level of the intermetatarsal ligament, which in most cases is caused by inappropriate weight put on the forefoot. (48,64,65) A recent study by Ruiz-Herrera et al (66) could demonstrate an association between the occurrence of Morton´s Neuroma and a smaller space between the metatarsal heads of the third and the fourth metatarsals and under the deep transverse metatarsal ligament using US.…”

Section: Morton´s Neuromamentioning

confidence: 93%

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Nerve entrapment syndromes: detection by ultrasound

Schwabl¹,

Schmidle²,

Kaiser³

et al. 2023

Ultrasonography

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Nerve entrapment syndromes are commonly encountered in clinical practice. Accurate diagnosis and management require knowledge of peripheral neuroanatomy and recognition of key clinical symptoms and findings.Nerve entrapment syndromes are frequently associated with structural abnormalities of the affected nerve. Therefore, imaging allows for the evaluation of the cause, severity, and etiology of the entrapment. High resolution ultrasonography can depict early and chronic morphological changes within the entire nerve course and is therefore an ideal modality for the diagnosis of various nerve entrapment syndromes at different regions. This review article presents some of the most common nerve entrapments, with special focus on ultrasound imaging and key findings.

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Section: Morton´s Neuromamentioning

confidence: 93%

“…A recent study by Del Mar Ruiz-Herrera et al [ 66 ] demonstrated an association between the occurrence of Morton´s neuroma and a smaller space between the metatarsal heads of the third and the fourth metatarsals and under the deep transverse metatarsal ligament using US.…”

Section: Morton’s Neuromamentioning

confidence: 99%

Nerve entrapment syndromes: detection by ultrasound

Schwabl¹,

Schmidle²,

Kaiser³

et al. 2023

Ultrasonography

View full text Add to dashboard Cite

show abstract

“…Previous studies have confirmed that ultrasound could be employed for the examination and classification of neuromas with high accuracy [ 16 , 17 ]. It has important value in preoperative evaluation, surgical planning and therapeutic US-guided procedures [ 18 ].…”

Section: Introductionmentioning

confidence: 94%

Regenerative peripheral nerve interface reduces the incidence of neuroma in the lower limbs after amputation: a retrospective study based on ultrasound

Lin,

Yu,

Chen

et al. 2023

J Orthop Surg Res

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Background Amputees suffer from symptomatic neuroma and phantom limb pain. Regenerative peripheral nerve interface (RPNI) has recently been regarded as an effective method to prevent neuroma after amputation. However, the verifications of RPNI efficacy are mostly based on subjective evaluation, lacking objective approaches. This study aims to unveil the effect of RPNI on preventing neuroma formation and provide evidence supporting the efficacy of RPNI based on ultrasound. Methods Amputees of lower limb at Peking University People’s Hospital from July 2020 to March 2022 were analyzed retrospectively. The clinical data collected consisted of general information, pathology of primary disease, history of limb-salvage treatment, amputation level of nerve, pain scales such as the Numerical Rating Scale (NRS) and the Manchester Foot Pain and Disability Index (MFPDI). Three months after amputation, the transverse diameter, anteroposterior diameter, and cross-sectional area of neuromas in stump nerves at the end of residual limbs were measured using ultrasound and compared to adjacent normal nerves. Results Fourteen patients were enrolled in the study, including 7 in the traditional amputation group (TA group) and 7 in the RPNI group. There was no significant difference in basic information and amputation sites between the two groups. The NRS and MFPDI scores of patients in RPNI group were significantly lower than those in TA group, and decreased with the follow-up time increasing, indicating that RPNI could reduce symptomatic neuroma pain. The comparison of preoperative ultrasound and postoperative pathology showed ultrasound could reflect the size of neuroma in vivo. Independent-sample t tests indicated that the ratios of anteroposterior diameter, transverse diameter and area of the cross section of both the neuroma and adjacent normal nerve obtained via ultrasound were significantly reduced in the RPNI group. Conclusion This study suggested that RPNI can effectively prevent the formation of symptomatic neuroma after amputation using ultrasound.

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Compressive Neuropathies and Plantar Fascia

Nikodinovska

Ivanoski²

2023

Imaging of the Foot and Ankle

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Study of the Anatomical Association between Morton’s Neuroma and the Space Inferior to the Deep Transverse Metatarsal Ligament Using Ultrasound

Cited by 3 publications

References 34 publications

Nerve entrapment syndromes: detection by ultrasound

Nerve entrapment syndromes: detection by ultrasound

Regenerative peripheral nerve interface reduces the incidence of neuroma in the lower limbs after amputation: a retrospective study based on ultrasound

Compressive Neuropathies and Plantar Fascia

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