Gauthier G
Clin Orthop Relat Res. 1979 Jul-Aug(142):90-2.
A new interpretation of the surgical treatment of Morton's neuroma consists of release of the anterior edge of the deep plantar fascia (deep intermetacarpal ligament) without resection of the neuroma. In 206 patients treated with this technique, 83% had rapid and stable improvement. An additional 15% were improved but with some persistence of pain. Division of the ligament without excision of the neuroma provides good pain relief in most patients without the hazards of loss of sensation, loss of sweat production, or neuroma development in the nerve stump.
一种针对莫顿神经瘤手术治疗的新诠释包括松解足底深筋膜(掌间深韧带)前缘而不切除神经瘤。在采用该技术治疗的206例患者中,83%的患者有快速且稳定的改善。另外15%的患者有所改善,但仍有一些疼痛持续存在。不切除神经瘤而切断韧带可使大多数患者获得良好的疼痛缓解,且无感觉丧失、汗液分泌丧失或神经残端神经瘤形成的风险。