Deviandri Romy, Santoso Raymond, Mecca Nasywa Devina, Khairussyifa Najmi, Annasya Kayla, Farahdina Rima, Wiranata Muhammad
Department of Surgery, Faculty of Medicine, Universitas Riau, Arifin Achmad Hospital, Pekanbaru, Indonesia; Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Department of Orthopedics, Faculty of Medicine, Universitas Padjajaran, Hasan Sadikin Hospital, Bandung, Indonesia.
Int J Surg Case Rep. 2025 Jun;131:111424. doi: 10.1016/j.ijscr.2025.111424. Epub 2025 May 13.
Morton's Neuroma is a neuropathy of the forefoot, specifically located on the interdigital nerve, and is associated with the thickening of the intermetatarsal ligament and nerve fibrotic. The management of Morton's Neuroma is challenging. Various treatments have been introduced for treating this lesion, starting from conservative treatment using the metatarsal pad, physical therapy, and corticosteroid injection to surgical treatment. This report highlights a novel approach to Morton's Neuroma using a pulsed radiofrequency (PRF).
A 53-year-old female, working as a tailor, was transferred to the orthopedic clinic after complaining of pain in her right plantar surface, and she was restricted from standing, walking, and descending stairs. The patient was administered analgesics and anti-inflammatory drugs, but the pain worsened. In the physical examination, there are no signs of trauma on the right foot. There was tenderness in the 2nd and 3rd metatarsal space, and increasing pain was obvious when the foot was squeezed. Magnetic Resonance Imaging (MRI) represents Neuroma in the intermetatarsal II-III segment. After a thorough examination, the patient was diagnosed with Morton Neuroma.
We performed a pulsed radio frequency (PRF) with linear Ultrasonography (USG) guidance from the plantar of the foot. PRF delivers in two cycles, each lasting 4 min. The patient was followed for six months. The Visual Analog Scale (VAS) and Foot and Ankle Disability Index (FADI) score were used to evaluate the patient's outcome.
A PRF approach is a favorable option for treating Morton's neuroma patients. VAS and FADI scores represent good functional outcomes.
莫顿神经瘤是一种前足神经病变，具体位于趾间神经，与跖间韧带增厚和神经纤维化有关。莫顿神经瘤的治疗具有挑战性。从使用跖骨垫的保守治疗、物理治疗、皮质类固醇注射到手术治疗，已经引入了各种治疗方法来治疗这种病变。本报告重点介绍了一种使用脉冲射频（PRF）治疗莫顿神经瘤的新方法。
一名53岁的女性裁缝，因右足底疼痛前来就诊，后被转诊至骨科诊所，她站立、行走和下楼梯都受限。患者服用了镇痛药和抗炎药，但疼痛加剧。体格检查时，右足无外伤迹象。第2和第3跖间隙有压痛，挤压足部时疼痛明显加重。磁共振成像（MRI）显示在跖骨间II - III节段有神经瘤。经过全面检查，患者被诊断为莫顿神经瘤。
我们在足底线性超声（USG）引导下进行了脉冲射频（PRF）治疗。PRF分两个周期进行，每个周期持续4分钟。对患者进行了6个月的随访。使用视觉模拟评分法（VAS）和足踝残疾指数（FADI）评分来评估患者的治疗效果。
PRF治疗方法是治疗莫顿神经瘤患者的一个良好选择。VAS和FADI评分显示出良好的功能结果。
