The recurrent Morton neuroma: what now?

Area of Science:

• Podiatric surgery
• Orthopedic surgery
• Neuroma treatment

Background:

• Interdigital neuromas frequently cause forefoot pain.
• Surgical excision is often required for symptom relief.
• Recurrence can occur due to diagnostic or surgical issues.

Purpose of the Study:

• To review surgical outcomes for interdigital neuromas.
• To highlight effective surgical techniques.
• To emphasize strategies for preventing recurrent neuromas.

Main Methods:

• Review of surgical excision for interdigital neuromas.
• Analysis of factors contributing to recurrence.
• Evaluation of surgical approaches, including incision type and nerve management.

Main Results:

• Primary excision provides relief for 50-85% of patients.
• Reoperation success rates are comparable to primary surgery.
• Plantar longitudinal incision with nerve transposition is effective.

Conclusions:

• Nerve stump transposition into bone or muscle minimizes painful neuroma formation.
• Proper surgical technique and preoperative counseling are crucial for successful outcomes.
• Addressing recurrence factors improves patient management.