UNCOMMON LOCATION OF MORTONS NEUROMA - A CASE REPORT

Abstract

Morton's neuroma is a benign
neuroma of an intermetatarsal plantar
nerve, most commonly of the third and
fourth intermetatarsal spaces. A 21-yearold
male, was diagnosed as having a
Mortons neuroma in 1st and 2nd interdigital
spaces and it is rare cause of forefoot
swelling. Careful history and clinical
examination is essential to establish the
diagnosis. However, if the clinical picture
is doubtful, radiological investigation is
recommended. Ultrasound, in the hand
of an experienced radiologist, is the modality
of choice. MRI was taken for further
evaluation. Patients must be counseled
preoperatively. The success of
neurectomy rarely exceeds 83. When
surgery is considered, the dorsal approach
is associated with less wound
complications than the plantar approach.
The neuroma is resected as proximally
as possible in order to include plantar
digital branches. Surgical treatment of
the Mortons neuroma should be considered
once the conservative methods
have failed. Surgical removal of the neuroma
is associated with good
patient satisfaction and functional outcome.
Persistent or recurrent pain, post-operative
infections and swelling along with numbness
after excision of the neuroma present
a challenging problem for both the surgeon
and patient. It is therefore essential to have
a detailed pre-operative discussion with the
patient about these potential complications
Keyword :Mortons neuroma uncommon
location forefoot swelling