Morton's Neuroma Flashcards

1
Q

what nerve is affected?

A

plantar interdigital nerve over the intermetatarsal ligaments

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2
Q

cause

A

subjected to repeated trauma leading to inflammation, swelling and fibrosis forming a neuroma

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3
Q

presentation

A

metatarsalgia
burning and tingling radiating into affected toe
most likely 3rd interspace, then 2nd

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4
Q

diagnosis

A

loss of sensation in affected web space
Mulder’s click test (medio-lateral compression of metatarsal head)
USS for swollen nerve

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5
Q

conservative management

A

pad/insole
steroid injections
anaesthetic injections

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6
Q

surgical management

A

excision (small risk of reoccurrence and pain)

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