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Related Concept Videos

Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx as...

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
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Is endoscopic decompression for Morton's neuroma a safe technique?

L López-Capdevila1, M Ballester2, G Lucar2

  • 1Hospital de la Santa Creu i Sant Pau, Barcelona, España.

Revista Espanola De Cirugia Ortopedica Y Traumatologia
|April 23, 2026
PubMed
Summary

Endoscopic dorsal decompression effectively releases the deep transverse metatarsal ligament for Morton's neuroma. This minimally invasive approach shows low risk of injury to surrounding tendons, nerves, and arteries.

Keywords:
Cirugía endoscópicaDeep transverse metatarsal ligamentEndoscopic surgeryLigamento intermetatarsiano transverso profundoMorton's neuromaNeuroma de Morton

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Minimally Invasive Procedures

Background:

  • Morton's neuroma results from nerve entrapment, often treated conservatively.
  • Surgical options include neurectomy and deep transverse metatarsal ligament (DTML) release for treatment failures.
  • Assessing anatomical risks of endoscopic dorsal decompression is crucial.

Purpose of the Study:

  • To anatomically evaluate the risks of endoscopic dorsal surgical decompression for Morton's neuroma.
  • To determine the safety and efficacy of this minimally invasive technique.

Main Methods:

  • Twenty feet from ten cadaveric specimens were used.
  • A dorsal percutaneous approach facilitated endoscopic access.
  • Post-procedure anatomical dissections assessed risks to surrounding structures.

Main Results:

  • The deep transverse metatarsal ligament (DTML) was successfully sectioned in all specimens (100%).
  • No iatrogenic injuries to tendons, nerves, or arteries were observed.
  • Potential risk to lumbrical muscles was identified.

Conclusions:

  • Endoscopic dorsal decompression is an accessible, minimally invasive surgical option for Morton's neuroma.
  • The procedure demonstrates a low risk of collateral injuries.
  • Further evaluation may be needed regarding lumbrical muscle safety.