UO Ortopedia e Traumatologia OC Cittadella (PD).
U.O. di Radiologia, Ospedale Civile di Cittadella.
Acta Biomed. 2022 Mar 10;92(S3):e2021556. doi: 10.23750/abm.v92iS3.12545.
The aim of this study is to systematically review the literature on clinical outcomes of patients who have undergone infiltrative therapy for treatment of Morton's neuroma. As many kinds of substances are injected, the main outcome defines which treatment provides the best results in term of patient's satisfaction and pain relief, so that it would be possible to choose the best option. Many electronic databases were searched on July 2021; we have included prospective and retrospective case series, and randomized controlled trials of infiltrative treatments in patients with primary diagnosis of Morton's neuroma. The search returned 25 studies which met the inclusion criteria, with a total of 2243 cases. The incidence of outcomes was extracted and analyzed. Although many studies demonstrated favorable results in terms of pain relief and patient's satisfaction employing different substances for infiltration, alcohol injection appears results on long run.
本研究旨在系统地回顾关于接受浸润治疗的莫顿氏神经瘤患者的临床结果的文献。由于注射了多种物质，主要结果定义了哪种治疗在患者满意度和缓解疼痛方面提供了最佳结果，从而可以选择最佳方案。2021 年 7 月，我们检索了多个电子数据库；我们纳入了浸润治疗的前瞻性和回顾性病例系列以及随机对照试验，这些治疗用于原发性莫顿氏神经瘤患者。检索结果共有 25 项研究符合纳入标准，共计 2243 例。提取和分析了结果的发生率。尽管许多研究表明，使用不同物质进行浸润注射在缓解疼痛和患者满意度方面均取得了良好的效果，但酒精注射的效果在长期来看更为显著。
