Morton's neuroma: A clinical versus radiological diagnosis
Abstract Background The aim of our study was to compare the clinical versus radiological diagnosis of patients suffering from a Morton's neuroma. Methods Clinical assessments and pre-operative radiological imaging of patients who had excision of a Morton's neuromas were retrospectively com...
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| Veröffentlicht in: | Foot and ankle surgery 2012-03, Vol.18 (1), p.22-24 |
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| creator | Pastides, Philip, MBBS, BSc, MRCS El-Sallakh, Sameh, MD, MCh Charalambides, Charalambos, MD, FRCS |
| description | Abstract Background The aim of our study was to compare the clinical versus radiological diagnosis of patients suffering from a Morton's neuroma. Methods Clinical assessments and pre-operative radiological imaging of patients who had excision of a Morton's neuromas were retrospectively compared. Results 43 neuromas were excised from 36 patients over 68 months. The commonest clinical symptoms were tenderness on direct palpation (100%), pain on weight bearing (91%) which was relieved by rest (81%). The most sensitive clinical sign was a Mulder's click. Clinical assessment had a sensitivity of 98% (42/43). Ultrasonography had a sensitivity of 90% (28/31) and magnetic resonance imaging had a sensitivity of 88% (14/16). Conclusion There is no absolute requirement for imaging patients who clinically have a Morton's neuroma. The two main indications for imaging are (a) an unclear clinical assessment and (b) cases when more than one web space is affected. Ultrasonography should be the investigation of choice. |
| doi_str_mv | 10.1016/j.fas.2011.01.007 |
| format | Article |
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Methods Clinical assessments and pre-operative radiological imaging of patients who had excision of a Morton's neuromas were retrospectively compared. Results 43 neuromas were excised from 36 patients over 68 months. The commonest clinical symptoms were tenderness on direct palpation (100%), pain on weight bearing (91%) which was relieved by rest (81%). The most sensitive clinical sign was a Mulder's click. Clinical assessment had a sensitivity of 98% (42/43). Ultrasonography had a sensitivity of 90% (28/31) and magnetic resonance imaging had a sensitivity of 88% (14/16). Conclusion There is no absolute requirement for imaging patients who clinically have a Morton's neuroma. The two main indications for imaging are (a) an unclear clinical assessment and (b) cases when more than one web space is affected. Ultrasonography should be the investigation of choice.</description><identifier>ISSN: 1268-7731</identifier><identifier>EISSN: 1460-9584</identifier><identifier>DOI: 10.1016/j.fas.2011.01.007</identifier><identifier>PMID: 22325999</identifier><language>eng</language><publisher>France: Elsevier Ltd</publisher><subject>Adult ; Aged ; Diagnosis ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Humans ; Imaging ; Magnetic Resonance Imaging - methods ; Male ; Metatarsalgia - diagnosis ; Metatarsalgia - surgery ; Metatarsophalangeal Joint - diagnostic imaging ; Metatarsophalangeal Joint - pathology ; Middle Aged ; Morton's neuroma ; Orthopedics ; Pain Measurement - methods ; Retrospective Studies ; Ultrasonography</subject><ispartof>Foot and ankle surgery, 2012-03, Vol.18 (1), p.22-24</ispartof><rights>European Foot and Ankle Society</rights><rights>2011 European Foot and Ankle Society</rights><rights>Copyright © 2011 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-f89520b18b1685736564e653d8392d5057839e33c6d0311292e1954758f2af083</citedby><cites>FETCH-LOGICAL-c322t-f89520b18b1685736564e653d8392d5057839e33c6d0311292e1954758f2af083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fas.2011.01.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22325999$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pastides, Philip, MBBS, BSc, MRCS</creatorcontrib><creatorcontrib>El-Sallakh, Sameh, MD, MCh</creatorcontrib><creatorcontrib>Charalambides, Charalambos, MD, FRCS</creatorcontrib><title>Morton's neuroma: A clinical versus radiological diagnosis</title><title>Foot and ankle surgery</title><addtitle>Foot Ankle Surg</addtitle><description>Abstract Background The aim of our study was to compare the clinical versus radiological diagnosis of patients suffering from a Morton's neuroma. Methods Clinical assessments and pre-operative radiological imaging of patients who had excision of a Morton's neuromas were retrospectively compared. Results 43 neuromas were excised from 36 patients over 68 months. The commonest clinical symptoms were tenderness on direct palpation (100%), pain on weight bearing (91%) which was relieved by rest (81%). The most sensitive clinical sign was a Mulder's click. Clinical assessment had a sensitivity of 98% (42/43). Ultrasonography had a sensitivity of 90% (28/31) and magnetic resonance imaging had a sensitivity of 88% (14/16). Conclusion There is no absolute requirement for imaging patients who clinically have a Morton's neuroma. The two main indications for imaging are (a) an unclear clinical assessment and (b) cases when more than one web space is affected. Ultrasonography should be the investigation of choice.</description><subject>Adult</subject><subject>Aged</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Metatarsalgia - diagnosis</subject><subject>Metatarsalgia - surgery</subject><subject>Metatarsophalangeal Joint - diagnostic imaging</subject><subject>Metatarsophalangeal Joint - pathology</subject><subject>Middle Aged</subject><subject>Morton's neuroma</subject><subject>Orthopedics</subject><subject>Pain Measurement - methods</subject><subject>Retrospective Studies</subject><subject>Ultrasonography</subject><issn>1268-7731</issn><issn>1460-9584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1LJDEQxcPisn6sf4AX6ZunHlNJJ91REAbxC1z2sOs5ZNLVQ8aejqamBf97M87owYNQkCK896B-j7Ej4BPgoE8Xk87RRHCACc_D6x9sDyrNS6OaaifvQjdlXUvYZftEC54VhstfbFcIKZQxZo-d_YlpFYcTKgYcU1y6s2Ja-D4Mwbu-eMFEIxXJtSH2cf7-1wY3HyIF-s1-dq4nPNy-B-zh-ur_5W15__fm7nJ6X3opxKrsGqMEn0EzA92oWmqlK9RKto00olVc1XlBKb1uuQQQRiAYVdWq6YTreCMP2Mkm9ynF5xFpZZeBPPa9GzCOZI2ASihpdFbCRulTJErY2acUli69WuB2TcwubCZm18Qsz8Pr7Dnepo-zJbafjg9EWXC-EWC-8SVgsuQDDh7bkNCvbBvDt_EXX9wfcB_xFWkRxzRkeBYsCcvtv3Vl68YAcluiUvINKtiNoQ</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Pastides, Philip, MBBS, BSc, MRCS</creator><creator>El-Sallakh, Sameh, MD, MCh</creator><creator>Charalambides, Charalambos, MD, FRCS</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201203</creationdate><title>Morton's neuroma: A clinical versus radiological diagnosis</title><author>Pastides, Philip, MBBS, BSc, MRCS ; El-Sallakh, Sameh, MD, MCh ; Charalambides, Charalambos, MD, FRCS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-f89520b18b1685736564e653d8392d5057839e33c6d0311292e1954758f2af083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Metatarsalgia - diagnosis</topic><topic>Metatarsalgia - surgery</topic><topic>Metatarsophalangeal Joint - diagnostic imaging</topic><topic>Metatarsophalangeal Joint - pathology</topic><topic>Middle Aged</topic><topic>Morton's neuroma</topic><topic>Orthopedics</topic><topic>Pain Measurement - methods</topic><topic>Retrospective Studies</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pastides, Philip, MBBS, BSc, MRCS</creatorcontrib><creatorcontrib>El-Sallakh, Sameh, MD, MCh</creatorcontrib><creatorcontrib>Charalambides, Charalambos, MD, FRCS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pastides, Philip, MBBS, BSc, MRCS</au><au>El-Sallakh, Sameh, MD, MCh</au><au>Charalambides, Charalambos, MD, FRCS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morton's neuroma: A clinical versus radiological diagnosis</atitle><jtitle>Foot and ankle surgery</jtitle><addtitle>Foot Ankle Surg</addtitle><date>2012-03</date><risdate>2012</risdate><volume>18</volume><issue>1</issue><spage>22</spage><epage>24</epage><pages>22-24</pages><issn>1268-7731</issn><eissn>1460-9584</eissn><abstract>Abstract Background The aim of our study was to compare the clinical versus radiological diagnosis of patients suffering from a Morton's neuroma. Methods Clinical assessments and pre-operative radiological imaging of patients who had excision of a Morton's neuromas were retrospectively compared. Results 43 neuromas were excised from 36 patients over 68 months. The commonest clinical symptoms were tenderness on direct palpation (100%), pain on weight bearing (91%) which was relieved by rest (81%). The most sensitive clinical sign was a Mulder's click. Clinical assessment had a sensitivity of 98% (42/43). Ultrasonography had a sensitivity of 90% (28/31) and magnetic resonance imaging had a sensitivity of 88% (14/16). Conclusion There is no absolute requirement for imaging patients who clinically have a Morton's neuroma. The two main indications for imaging are (a) an unclear clinical assessment and (b) cases when more than one web space is affected. Ultrasonography should be the investigation of choice.</abstract><cop>France</cop><pub>Elsevier Ltd</pub><pmid>22325999</pmid><doi>10.1016/j.fas.2011.01.007</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Aged Diagnosis Diagnosis, Differential Female Follow-Up Studies Humans Imaging Magnetic Resonance Imaging - methods Male Metatarsalgia - diagnosis Metatarsalgia - surgery Metatarsophalangeal Joint - diagnostic imaging Metatarsophalangeal Joint - pathology Middle Aged Morton's neuroma Orthopedics Pain Measurement - methods Retrospective Studies Ultrasonography |
| title | Morton's neuroma: A clinical versus radiological diagnosis |
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