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Recurrent intermetatarsal neuroma. A follow-up study

A S Banks1, G R Vito, T L Giorgini

  • 1Northlake Regional Medical Center, Tucker, GA 30084, USA.

Journal of the American Podiatric Medical Association
|July 1, 1996
PubMed
Summary

This study evaluated burying nerve stumps after recurrent intermetatarsal neuroma excision. Most patients experienced pain relief or mild discomfort, indicating a potentially effective surgical outcome for neuroma pain.

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Area of Science:

  • Podiatric surgery
  • Neuroma treatment
  • Nerve surgery

Background:

  • Recurrent intermetatarsal neuromas can cause persistent foot pain.
  • Surgical excision is a common treatment, but recurrence can occur.
  • Managing nerve stump pain after neuroma excision is crucial.

Purpose of the Study:

  • To evaluate the outcomes of burying nerve stumps in the flexor digitorum brevis muscle after recurrent intermetatarsal neuroma excision.
  • To assess the effectiveness of this technique in alleviating pain and improving function.

Main Methods:

  • Retrospective evaluation of sixteen patients.
  • Surgical excision of recurrent intermetatarsal neuroma.
  • Burial of the nerve stump within the flexor digitorum brevis muscle via a plantar incision.

Main Results:

  • Six patients (37.5%) were asymptomatic.
  • Seven patients (43.75%) reported mild pain after extended activity.
  • One patient (6.25%) had mild consistent pain with activity.
  • Two patients (12.5%) experienced pain limiting activities.

Conclusions:

  • Burying the nerve stump in the flexor digitorum brevis muscle appears to be a viable surgical option for recurrent intermetatarsal neuromas.
  • The technique offers significant pain relief for a majority of patients.
  • Further research may be warranted to optimize outcomes and minimize residual pain.

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