SONOGRAPHIC EVALUATION OF INTERDIGITAL NEUROMAS

被引:68
作者
SHAPIRO, PP
SHAPIRO, SL
机构
关键词
D O I
10.1177/107110079501601003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Fifty surgical patients with symptoms suggestive of Morton's neuroma underwent preoperative ultrasound examination of the forefoot using a 7.5 MHz transducer. Fifty-five neuromas were excised. Of these, one neuroma had a ganglion associated with it and five neuromas were recurrent. Four feet had adjacent neuromas. Ultrasound accurately predicted the presence, location and size of the neuromas in 98% of the cases. There were no false positives. In all cases in which a neuroma was predicted by ultrasound, it was confirmed grossly at the time of surgery and later by histological exams, We conclude that ultrasound is an accurate technique in the diagnosis of interdigital neuromas.
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页码:604 / 606
页数:3
相关论文
共 11 条
[1]  
Beskin J.L., Baxter D.E., Recurrent pain following interdigital neurectomy: a plantar approach, Foot Ankle, 9, pp. 34-39, (1988)
[2]  
Durlacher L., Treatise on Corns, Bunions, Diseases of Nails, and the General Management of the Feet, (1845)
[3]  
Erickson S.J., Canale P.B., Carrera G.F., Johnson J.E., Shereff M.J., Gould J.S., Hyde J.S., Jesmanowicz A., Interdigital neuroma: high-resolution MR Imaging with a sole-noid coil, Radiology, 181, pp. 833-836, (1991)
[4]  
Graham C.C., Graham D.M., Morton's neuroma: a microscopic evaluation, Foot Ankle, 5, (1984)
[5]  
Johnson K.A., Surgery of the Foot and Ankle, pp. 69-82, (1989)
[6]  
Levitsky K.A., Alman B.A., Jevgevar D.S., Morehead J., Digital nerves of the foot: anatomic variations and implications regarding the pathogenesis of interdigital neuroma, Foot Ankle, 14, pp. 208-214, (1993)
[7]  
Mann R.A., Coughlin M.J., Surgery of the Foot and Ankle, pp. 544-553, (1992)
[8]  
Mann R.A., Reynolds J.C., Interdigital neuroma—a critical clinical analysis, Foot Ankle, 3, pp. 238-243, (1983)
[9]  
Morton T.G., A peculiar and painful affliction of the fourth metatarsophalangeal articulation, Am. J. Med. Sci, 71, pp. 37-45, (1992)
[10]  
Redd R.A., Peters V.J., Emery S.F., Branch H.M., Rifkin M.D., Morton's neuroma: sonographic evaluation, Radiology, 171, pp. 415-417, (1989)