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Updated: Mar 19, 2026

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Endoscopic Intermetatarsal Ligament Decompression.

Tun Hing Lui1

  • 1Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, China.

Arthroscopy Techniques
|June 11, 2016
PubMed
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Morton neuroma surgery involves releasing the intermetatarsal ligament to decompress the nerve. A novel 2-portal endoscopic technique offers a minimally invasive option for persistent pain.

Area of Science:

  • Podiatric surgery
  • Nerve entrapment syndromes

Background:

  • Morton neuroma involves intermetatarsal nerve entrapment by the deep intermetatarsal ligament.
  • Conservative treatments are standard, with surgery reserved for recalcitrant pain.

Purpose of the Study:

  • To describe a novel 2-portal endoscopic technique for intermetatarsal nerve decompression in Morton neuroma.

Main Methods:

  • A minimally invasive approach utilizing two portals.
  • Arthroscopic guidance through a plantar portal.
  • Retrograde knife release of the intermetatarsal ligament via the toe-web portal.

Main Results:

  • Successful decompression of the intermetatarsal nerve was achieved.
  • The technique allows for precise ligament release under direct visualization.

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Conclusions:

  • 2-portal endoscopic decompression is a viable minimally invasive surgical option for Morton neuroma.
  • This technique offers an alternative to open surgery for recalcitrant cases.