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Morton neuroma: sonographic evaluation.

R A Redd1, V J Peters, S F Emery

  • 1Department of Radiology, Brooke Army Medical Center, San Antonio, Texas.

Radiology
|May 1, 1989
PubMed
Summary
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Sonography effectively identifies Morton neuroma, a common cause of foot pain. This imaging technique reveals characteristic masses between the metatarsals, aiding diagnosis and treatment planning for this condition.

Area of Science:

  • Podiatric Medicine
  • Diagnostic Imaging
  • Musculoskeletal Sonography

Background:

  • Morton neuroma is a common cause of forefoot pain.
  • Accurate diagnosis is crucial for effective treatment.
  • Sonography offers a non-invasive imaging modality for evaluating foot pain.

Purpose of the Study:

  • To evaluate the sonographic appearance of Morton neuroma.
  • To correlate sonographic findings with surgical exploration results.
  • To determine the diagnostic utility of sonography in identifying intermetatarsal masses suggestive of Morton neuroma.

Main Methods:

  • One hundred consecutive patients with symptoms suggestive of Morton neuroma were prospectively evaluated.
  • Sonography was performed to identify and characterize intermetatarsal masses.

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  • Forty-five patients subsequently underwent surgical exploration for definitive diagnosis.

    • Main Results:

    • Sonography demonstrated 134 intermetatarsal masses in 100 patients.
    • Surgical exploration confirmed Morton neuromas in 45 patients.
    • The typical sonographic finding was an ovoid, hypoechoic mass oriented parallel to the metatarsals, commonly between the second-third or third-fourth metatarsals. Masses of 5 mm diameter were associated with symptoms.

    Conclusions:

    • Sonography is a reliable method for diagnosing Morton neuroma.
    • Characteristic sonographic features can accurately identify Morton neuromas.
    • Sonographic evaluation aids in the surgical planning and management of Morton neuroma.