An Updated Nerve Sparing Surgical Technique for Addressing Morton’s Neuroma

  • Narendra Rajnikant Patel
    Corresponding author.
    Deformity Correction of the Lower Limb, Achilles, Ankle, Foot and Peripheral Nerve Surgery, American Microsurgical Orthoplastic Society, AMITA St. Joseph Hospital Residency Program, Barrington Orthopedic Specialists, 929 West Higgins Road, Schaumburg, IL 60195, USA
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  • Stephanie Oexeman
    American Microsurgical Orthoplastic Society, AMITA Health - St. Joseph Hospital, Podiatric Fellow Office Suite 425, 2913 North Commonwealth Avenue, Chicago, IL 60657, USA
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  • Edgardo Rodriguez- Collazo
    Peripheral Nerve Reconstructive Microsurgery, American Microsurgical Orthoplastic Society, Department of Surgery, Amita Saint Joseph Hospital, Laboure Outpatient Clinic, 2913 North Commonwealth Avenue, Chicago, IL 60657, USA
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Published:November 17, 2021DOI:


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        • Edgardo R.-C.
        • Jean C.M.
        • Leotaud G.A.
        New surgical approach to common digital neuroma with combined technique of nerve decompression, dorsal nerve transposition and nerve wrap in the foot.
        Ortho Rheum Open Access. 2017; 7: 555702
        • Colgrove R.C.
        • Huang E.Y.
        • Barth A.H.
        • et al.
        Interdigital neuroma:intermuscular neuroma transposition compared with resection.
        Foot Ankle Int. 2000; 21: 206-211
        • Jain S.
        • Mannan K.
        The diagnosis and management of Morton’s neuroma: a literature review.
        Foot Ankle Spec. 2013; 6: 307-317
        • Hassouna H.
        • Singh D.
        Morton’s metatarsalgia: pathogenesis, aetiology and current management.
        Acta Orthop Belg. 2005; 71: 646-655
        • Bossley C.J.
        • Cairney P.C.
        The intermetatarsophalangeal bursa—its significance in Morton’s metatarsalgia.
        J Bone Joint Surg Br. 1980; 62-B: 184-187
        • Root M.L.
        • Orien W.P.
        • Weed J.H.
        Normal and abnormal function of the foot. vol. II. Clinical Biomechanics Corp, Los Angeles, CA1977
        • Gauthier G.
        Thomas Morton’s disease: a nerve entrapment syndrome. A new surgical technique.
        Clin Orthop Relat Res. 1979; 142: 90-92
        • Wu K.K.
        Morton’s interdigital neuroma: a clinical review of its etiology, treatment, and results.
        J Foot Ankle Surg. 1996; 35 ([discussion 187–8]): 112-119
        • Kim J.-Y.
        • Choi J.H.
        • Park J.
        • et al.
        An anatomical study of Morton’s interdigital neuroma: the Relationship between the occurring site and the deep transverse metatarsal ligament (DTML).
        Foot Ankle Int. 2007; 28: 1007-1010
        • Di Caprio F.
        • et al.
        Morton’s interdigital neuroma of the foot.
        Foot Ankle Surg. 2017;
        • Ducic I.
        • Safa B.
        • DeVinney E.
        Refinements of nerve repair with connector-assisted coaptation.
        Microsurgery. 2017; 37: 256-263
        • Dumanian G.A.
        • Potter B.K.
        • Mioton L.M.
        • et al.
        Targeted muscle reinnervation treats neuroma and phantom pain in major limb amputees.
        Ann Surg. 2019; 270: 238-246
        • Cederna P.S.
        • et al.
        Regenerative peripheral nerve interfaces for the treatment of postamputation neuroma pain: a pilot study.
        Plast Reconstr Surg Glob Open. 2016; 4: e1038
      1. Deer T, et al. Prospective, multicenter, randomized, double-blinded, partial crossover study to assess the safety and efficacy of the novel neuromodulation system in the treatment of patients with chronic pain of peripheral nerve origin.

        • Okafor B.
        • Shergill G.
        • Angel J.
        Treatment of Morton's neuroma by neurolysis.
        Foot Ankle Int. 1997; 18: 284-287
        • Barrett S.L.
        • Walsh A.S.
        Endoscopic decompression of intermetatarsal nerve entrapment: a retrospective study.
        J Am Podiatr Med Assoc. 2006; 96: 19-23
        • Vito G.R.
        • Talarico L.M.
        A modified technique for Morton’s neuroma: decompression with relocation.
        J Am Podiatr Med Assoc. 2003; 93: 190-194
        • Valisena S.
        • et al.
        Treatment of Morton’s neuroma: a systematic review.
        Foot Ankle Surg. 2017;