In a series of 25 patients (predominantly women) with Morton's metatarsalgia, the most likely site for a neuroma is the third cleft of the left foot. If a swelling is present or if radiographic examination shows toe divergence then the diagnosis in unlikely to be a simple digital neuroma. A review of the literature suggests that there are other causes of pain in the forefoot. Usually the pain is diffuse by when it is localized, Morton's metatarsalgia is diagnosed. However, causes other than a digital neuroma, e.g. traumatic bursitis and rheumatoid arthritis, epithelial cyst, and foreign body should be borne in mind.
在一组25例(主要为女性)莫顿跖痛症患者中,神经瘤最可能出现的部位是左脚的第三间隙。如果存在肿胀,或者影像学检查显示脚趾分开,那么诊断不太可能是单纯的趾神经瘤。文献综述表明,前足疼痛还有其他原因。通常疼痛是弥漫性的,当疼痛定位时,可诊断为莫顿跖痛症。然而,应记住除趾神经瘤外的其他原因,如创伤性滑囊炎、类风湿关节炎、上皮囊肿和异物。