Interdigital neuritis Morton Neuroma
Conditions
Interventions
Once the common digital nerve was cut sharply just distal to the bifurcation, it was transplanted into intrinsic foot muscle.,The proper interdigital nerves were transected just distal to the bifurcat
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Neurectomy with intramuscular transplantation,Simple neurectomy
Sponsors
Phramongkutklao Hospital
Eligibility
Sex/Gender
All
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age 20 years or older., 2. Able to communicate in Thai or English., 3. Diagnosed with interdigital neuritis in a single web space based on tenderness location and/or Mulder's click during physical examination, MRI findings, and/or positive diagnostic injection at the affected web space., 4.No response to conservative treatment for at least 6 months.
Exclusion criteria
Exclusion criteria: 1. History of previous surgery for interdigital neuroma/neuritis., 2.Presence of multiple interdigital neuromas in the same foot. History of previous forefoot surgery.,3.Diagnosis of polyneuropathy.4.Poorly controlled diabetes mellitus with neuropathy.,5.Established proximal nerve root pathology (e.g., lumbar radiculopathy).6.Presence of another neoplasm in the same web space.7.Metatarsalgia of undetermined cause.8.Inability to comprehend or communicate about the study protocol and treatment due to physical or mental reasons.9.Pregnancy.10.Patients with other contraindications to surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain (Metatarsalgia) at 12 months after intervention pain visual analogue scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Foot function at 12 months after intervention Foot and ankle ability measure (FAAM) score,Quality of life at 12 months after intervention SF-36 | — |
Countries
Thailand
Contacts
Public ContactChamnanni Rungprai
Phramongkutklao Hospital
Outcome results
None listed