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Morton 神经瘤——当前概念综述

Morton's neuroma - Current concepts review.

作者信息

Bhatia Maneesh, Thomson Lauren

机构信息

University Hospitals Leicester, UK.

出版信息

J Clin Orthop Trauma. 2020 May-Jun;11(3):406-409. doi: 10.1016/j.jcot.2020.03.024. Epub 2020 Apr 10.

Abstract

Morton's neuroma is a common pathology affecting the forefoot. It is not a true neuroma but is fibrosis of the nerve. This is caused secondary to pressure or repetitive irritation leading to thickness of the digital nerve, located in the third or second intermetatarsal space. The treatment options are: orthotics, steroid injections and surgical excision usually performed through dorsal approach. Careful clinical examination, patient selection, pre-operative counselling and surgical technique are the key to success in the management of this condition.

摘要

莫顿神经瘤是一种影响前足的常见病变。它并非真正的神经瘤,而是神经的纤维化。这是由压力或反复刺激继发引起的,导致位于第三或第二跖骨间隙的趾神经增厚。治疗选择包括:矫形器、类固醇注射以及通常通过背侧入路进行的手术切除。仔细的临床检查、患者选择、术前咨询和手术技术是成功治疗这种疾病的关键。

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本文引用的文献

1
Non-surgical treatments for Morton's neuroma: A systematic review.莫顿氏神经瘤的非手术治疗:系统评价。
Foot Ankle Surg. 2020 Oct;26(7):736-743. doi: 10.1016/j.fas.2019.09.009. Epub 2019 Nov 2.
3
Central Metatarsalgia and Walking on Pebbles: Beyond Morton Neuroma.足底中间痛和卵石行走法:不只是莫顿神经瘤。
AJR Am J Roentgenol. 2018 Apr;210(4):821-833. doi: 10.2214/AJR.17.18460. Epub 2018 Feb 22.
5
Ultrasound Evaluation of Morton Neuroma Before and After Laser Therapy.激光治疗前后 Morton 神经瘤的超声评估
AJR Am J Roentgenol. 2017 Feb;208(2):380-385. doi: 10.2214/AJR.16.16403. Epub 2016 Nov 29.
6
CT and MR Imaging of the Postoperative Ankle and Foot.术后踝关节和足部的CT与磁共振成像
Radiographics. 2016 Oct;36(6):1828-1848. doi: 10.1148/rg.2016160016.

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