用于治疗莫顿神经瘤的微创内镜下跖间神经减压术
Minimally invasive endoscopic decompression of the intermatatarsal nerve for Morton's neuroma.
作者信息
Kubota Mitsuaki, Ohno Ryuichi, Ishijima Muneaki, Hanyu Ryo, Sakai Kensuke, Sugawara Yu, Ochi Hironori, Mukasa Humihiro, Kaneko Kazuo
机构信息
Department of Orthopaedic Surgery, Koshigaya Municipal Hospital, Japan.
Department of Orthopaedic Surgery, Juntendo University School of Medicine, Japan.
出版信息
J Orthop. 2014 Jan 31;12(Suppl 1):S101-4. doi: 10.1016/j.jor.2014.01.004. eCollection 2015 Oct.
BACKGROUND
We presented case reports of endoscopic decompression for a Morton intermetatarsal neuroma.
METHODS
Three patients underwent surgery using an instrument designed to release the transverse carpal ligament for carpal tunnel syndrome. Each patient was 61, 56 and 24 years old. The mean follow up period was 1.5 years.
RESULTS
All patients experienced reduced pain postoperatively. The postoperative scar was very small (only 1 cm). There is no loss of sensation, no hematoma and no infection.
CONCLUSION
This procedure is simple, and the postoperative morbidity for the patient is minimal. There is rapid recovery with minimal risk of complications that are associated with open techniques. Therefore endoscopic decompression for Morton neuroma offers many advantages and should be studied in a larger number of patients.
背景
我们展示了关于莫顿跖间神经瘤内镜减压的病例报告。
方法
三名患者接受了使用一种设计用于松解腕管综合征的腕横韧带的器械进行的手术。每位患者分别为61岁、56岁和24岁。平均随访期为1.5年。
结果
所有患者术后疼痛均减轻。术后瘢痕非常小（仅1厘米）。没有感觉丧失、没有血肿且没有感染。
结论
该手术操作简单，患者术后发病率极低。恢复迅速，与开放手术相关的并发症风险极小。因此，莫顿神经瘤的内镜减压具有许多优势，应在更多患者中进行研究。
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