Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Primary Care Sports Medicine, Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine and Science, Rochester, Minnesota; and.
Clin J Sport Med. 2021 Sep 1;31(5):e287-e289. doi: 10.1097/JSM.0000000000000796.
We present 2 cases where the initial history and examination were similar to a Morton's/interdigital neuroma. In both cases, however, diagnostic ultrasound revealed symptomatic snapping of the proper digital nerve of the fifth toe. The anatomy of the proper digital nerve of the fifth toe may predispose it to a snapping phenomenon. Clinical awareness of this atypical cause of forefoot pain can help guide the diagnosis and treatment in those patients with persistent and refractory lateral forefoot pain and paresthesias.
我们介绍了 2 例病例,其初始病史和检查类似于 Morton 神经瘤/趾间神经瘤。然而,在这两种情况下,超声诊断均显示第五趾固有神经出现症状性弹响。第五趾固有神经的解剖结构可能使其易于发生弹响现象。临床医生对这种前足疼痛非典型病因的认识可以帮助指导那些持续存在且难治的前足外侧疼痛和感觉异常的患者进行诊断和治疗。