超声引导下跖间韧带切断术治疗莫顿神经瘤的经皮手术：尸体研究。
Intermetatarsal ligament section assisted with sonography for the percutaneous surgery of Morton's disease: Cadaveric study.
机构信息
Institut d'Anatomie Normale, Faculté de médecine, 4 rue Kirschleger, 67085 CEDEX Strasbourg, France.
出版信息
Foot Ankle Surg. 2022 Oct;28(7):1106-1109. doi: 10.1016/j.fas.2022.03.007. Epub 2022 Mar 17.
BACKGROUND
Surgical treatment of Morton's neuroma remains controversial. Several surgical techniques have been described including percutaneous transection of the deep metatarsal transverse ligament (DMTL).
PURPOSE
To evaluate the efficacy and safety of percutaneous release of the DMTL under ultrasound guidance for the treatment of Morton's syndrome.
MATERIALS AND METHODOLOGY
Percutaneous release of the DMTL was performed with ultrasound guidance in 48 intermetatarsal spaces of 16 cadaveric specimens. Specimens were then dissected to assess the completion of the release and the presence of any injuries of the neurovascular and tendinous adjacent structures.
RESULTS
The DMTL was visualized with ultrasound in all cases. Complete release of the ligament was achieved in 87.5% (42/48) cases. One case of interdigital nerve injury was found.
CONCLUSION
Percutaneous release of DMTL with ultrasound guidance for the treatment of Morton's disease has an acceptable rate of complications but care must be taken to ensure the complete release of the ligament.
背景
Morton 神经瘤的手术治疗仍存在争议。已经描述了几种手术技术，包括经皮切断深部跖骨横韧带（DMTL）。
目的
评估超声引导下经皮 DMTL 松解治疗 Morton 综合征的疗效和安全性。
材料和方法
在 16 个尸体标本的 48 个跖骨间隙中，在超声引导下进行经皮 DMTL 松解。然后对标本进行解剖，以评估松解的完成情况以及是否有任何神经血管和邻近肌腱结构的损伤。
结果
所有病例均在超声下观察到 DMTL。在 87.5%（42/48）的病例中，完全松解了韧带。发现 1 例指间神经损伤。
结论
超声引导下经皮 DMTL 松解治疗 Morton 病的并发症发生率可以接受，但必须注意确保韧带完全松解。
Zotero 插件