Dick W, Mohler J, Morscher E, Ulrich J
Arch Orthop Unfallchir. 1977 Apr 22;88(1):113-25.
From experience with 58 own cases the authors found that Morton's metatarsalgia due to a sclerosing neuroma of the plantar digital nerve is very often not recognised for many years. As this painfull affection easily can be cured, the clinical symptoms and histological findings, the diagnostic steps and treatment are described and the etiology discussed. For the excision of the plantar digital neuroma, situated generally between 3rd and 4th metatarsal head, the dorsal web-splitting approach is preferred because of better scars and immediate weigt-bearing. The operation is performed on outdoor patients. There were no complications. The results of 35 operations two or more years back show immediate and complete relief of pain in 31 cases and significant but incomplete relief in 4 cases.
根据对58例自身病例的经验,作者发现,多年来,因足底趾神经硬化性神经瘤引起的莫顿跖痛症常常未被识别。由于这种疼痛性病症易于治愈,本文描述了其临床症状、组织学发现、诊断步骤和治疗方法,并对病因进行了讨论。对于通常位于第三和第四跖骨头之间的足底趾神经瘤切除术,由于瘢痕较小且术后可立即负重,因此首选背侧蹼状切开入路。手术在门诊患者中进行。未出现并发症。35例两年或更早之前手术的结果显示,31例患者疼痛立即完全缓解,4例患者疼痛显著缓解但未完全缓解。