Morton's Neuroma Flashcards

1
Q

Pathogenesis of Morton’s neuroma?

A

Plantar interdigital nerves overlying intermetatarsal ligaments

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2
Q

Neuroma?

A

When irritated nerves become inflamed and swollen

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3
Q

Aetiology of Morton’s neuroma?

A
  • Females more likely
  • Wearing high heels implicated
  • 3rd interspace is most commonly involved by second
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4
Q

Signs/symptoms of morton’s neuroma?

A
  • Burning pain
  • Tingling
  • Radiating into affected toes
  • Clinical examination reveals loss f sensation in affected web space
  • Mulder’s click test produce click
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5
Q

What would clinical examination of Morton’s neuroma reveal?

A
  • Loss of sensation in affected web space

- Mulder’s click tests: medio-lateral compression of metatarsal heads

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6
Q

What is Mulder’s test?

A

Squeezing forefoot with hands

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7
Q

What will a positive Mulder’s test do?

A

Reproduce symptoms

Produce click

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8
Q

Investigation of Mulder’s test?

A

US: demonstrate swollen nerve

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9
Q

Conservative treatment of Morton’s neuroma?

A

Metatarsal pad
Offloading insole
Steroid & local anaesthetic injections: relieve symptoms & aid diagnosis

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10
Q

Severe treatment of Morton’s neuroma?

A

-Surgical excision of neuroma

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