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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.
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.
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.