Park Y H, Jeong S M, Choi G W, Kim H J
Korea University Guro Hospital, Department of Orthopaedic Surgery, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Korea.
Korea University Ansan Hospital, Department of Orthopaedic Surgery, 123 Jeokgeum-ro, Danwon-gu, Ansan, 15355, Korea.
Bone Joint J. 2017 Mar;99-B(3):365-368. doi: 10.1302/0301-620X.99B3.BJJ-2016-0661.R1.
Morton's neuroma is common condition of the forefoot, but its aetiology remains unclear. Our aim was to evaluate the relationship between the width of the forefoot and the development of a Morton's neuroma.
Between January 2013 and May 2016, a total of 84 consecutive patients (17 men, 67 women) with a unilateral Morton's neuroma were enrolled into the study. The involved and uninvolved feet of each patient were compared. A control group of patients with symptoms from the foot, but without a neuroma who were matched for age, gender, affected side, and web space location, were enrolled. The first to fifth intermetatarsal distance, intermetatarsal angle and intermetatarsal distance of involved web space on standing radiographs were assessed.
The inter- and intra-observer reliability was excellent. The three parameters did not differ significantly between the involved and uninvolved feet. Neither did they differ significantly between the patients and the controls.
We conclude that there is no significant relationship between the width of the forefoot and the development of a Morton's neuroma. Cite this article: 2017;99-B:365-8.
Morton神经瘤是前足的常见病症，但其病因仍不明确。我们的目的是评估前足宽度与Morton神经瘤发生之间的关系。
2013年1月至2016年5月，共有84例连续的单侧Morton神经瘤患者（17例男性，67例女性）纳入本研究。对每位患者患侧和未患侧足部进行比较。纳入一组年龄、性别、患侧和趾蹼间隙位置相匹配的有足部症状但无神经瘤的患者作为对照组。评估站立位X线片上第一至第五跖骨间距离、跖骨间角以及患侧趾蹼间隙的跖骨间距离。
观察者间和观察者内信度均极佳。患侧和未患侧足部的这三个参数无显著差异。患者与对照组之间也无显著差异。
我们得出结论，前足宽度与Morton神经瘤的发生之间无显著关系。引用本文：2017;99-B:365-8。
