Morton's neuroma: Difference between revisions

	Morton's neuroma Microchapters
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Overview
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Epidemiology and Demographics
Risk Factors
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Physical Examination
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	Morton's neuroma;
	The plantar nerves.
ICD-10	G57.6
ICD-9	355.6
DiseasesDB	8356

VisualWikitext

Latest revision as of 20:49, 19 August 2020

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2], Faizan Sheraz, M.D. [3]

Synonyms and keywords: Morton's metatarsalgia, Morton's neuralgia, Plantar neuroma, Intermetatarsal neuroma, Morton’s metatarsalgia, Plantar interdigital neuroma; Morton's intermetatarsal neuroma, Morton's entrapment, Morton's disease, Morton's neuropathy, Morton's neuralgia, Intermetatarsal space neuroma, Intermetatarsal nerve entrapment, Interdigital neuroma, Interdigital nerve compression, Interdigital nerve enlargement, Joplin's neuroma, Forefoot neuroma

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Morton's Neuroma from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Treatment

Case Studies

Case #1

External links

American Academy of Podiatric Sports Medicine

Template:PNS diseases of the nervous system

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Template:WS

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+'''For patient information click [[Morton's neuroma (patient information)|here]]'''
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-  eMedicineSubj  = orthoped |
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    MeshID         = |
 }}
-{{SI}}
-{{EH}}
-==Overview==
+{{Morton's neuroma }}
-'''Morton's neuroma''' (also known as  '''Morton's metatarsalgia''', '''Morton's neuralgia''', '''plantar neuroma''' and '''intermetatarsal neuroma''') is a [[benign]] [[neuroma]] of the interdigital [[plantar nerve]].
+{{CMG}}; {{AE}} {{S.M.}}, {{Faizan}}
+{{SK}}  Morton's metatarsalgia, Morton's neuralgia, Plantar neuroma, Intermetatarsal neuroma, Morton’s metatarsalgia, Plantar interdigital neuroma; Morton's intermetatarsal neuroma, Morton's entrapment, Morton's disease, Morton's neuropathy, Morton's neuralgia, Intermetatarsal space neuroma, Intermetatarsal nerve entrapment, Interdigital neuroma, Interdigital nerve compression, Interdigital nerve enlargement, Joplin's neuroma, Forefoot neuroma
+== [[Morton's neuroma overview|Overview]] ==
+== [[Morton's neuroma historical perspective|Historical Perspective]] ==
+== [[Morton's neuroma classification|Classification]] ==
+== [[Morton's neuroma pathophysiology|Pathophysiology]] ==
-This problem is characterised by [[numbness]] and [[Pain and nociception|pain]], relieved by removing footwear.
+== [[Morton's neuroma causes|Causes]] ==
-Although it is labeled a "neuroma", many sources do not consider it a true [[tumor]], but rather a thickening of existing tissue.
+== [[Morton's neuroma differential diagnosis|Differentiating Morton's Neuroma from other Diseases]] ==
-==Symptoms and signs==
+== [[Morton's neuroma epidemiology and demographics|Epidemiology and Demographics]] ==
-Symptoms include: pain on weight bearing, frequently after only a short time; the pain is felt as a shooting pain affecting the contiguous halves of two toes. Burning, [[numbness]] and [[parasthesia]] may also be experienced. Classically the 3rd digital space between the 3rd and 4th [[toes]] is affected, but the condition can occasionally occur in the 2nd and 3rd interdigital space. The pain is caused by pressure on the enlarged section of nerve where it passes between the metatarsal heads, and is squeezed between them. The first toe is usually not involved. Neuroma in the 4th/5th interdigital space is described, but is extremely rare.
-==Diagnosis/differential diagnosis==
+== [[Morton's neuroma risk factors|Risk Factors]] ==
-Negative signs include no obvious deformities, [[erythema]], signs of [[inflammation]] or limitation of movement. Direct pressure between the metatarsal heads will replicate the symptoms, as will compression of the forefoot between the finger and thumb so as to compress the transverse arch of the foot.  This is referred to as Mulder’s Sign.
-There are other causes of pain in the forefoot.  Too often all forefoot pain is categorized as neuroma.  Other conditions to consider are capsulitis, which is an inflammation of ligaments that surrounds two bones, at the level of the joint.  In this case it would the ligaments that attach the toe bone to the metatarsal bone.  Inflammation from this condition will put pressure on an otherwise healthy nerve and give neuroma type symptoms.
+== [[Morton's neuroma natural history|Natural History, Complications and Prognosis]] ==
-Additionally, an intermetatarsal [[bursitis]] between the third and fourth metatarsal bones will also give neuroma type symptoms because it too puts pressure on the nerve.
-Since a neuroma is a soft tissue condition an [[MRI]] should be helpful in diagnosis, however, often an MRI will be inconclusive for neuroma even though a neuroma exists.
+== Diagnosis ==
+[[Morton's neuroma history and symptoms|History and Symptoms]] | [[Morton's neuroma physical examination|Physical Examination]] | [[Morton's neuroma laboratory tests|Laboratory Findings]] | [[Morton's neuroma x ray|X Ray]] | [[Morton's neuroma CT|CT]] | [[Morton's neuroma MRI|MRI]] | [[Morton's neuroma other imaging findings|Other Imaging Findings]] | [[Morton's neuroma other diagnostic studies|Other Diagnostic Studies]]
+== Treatment ==
-==External links==
+[[Morton's neuroma medical therapy|Medical Therapy]] | [[Morton's neuroma surgery|Surgery]] | [[Morton's neuroma primary prevention|Primary Prevention]] | [[Morton's neuroma secondary prevention|Secondary Prevention]] | [[Morton's neuroma cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Morton's neuroma future or investigational therapies|Future or Investiagational Therapies]]
-* [http://www.mayoclinic.com/health/mortons-neuroma/DS00468 Overview] at [[Mayo Clinic]]
-* [http://www.podiatrychannel.com/mortonneuroma/ Podiatry Channel]
+==Case Studies==
-* {{GPnotebook|-664076278}}
+[[Morton's neuroma case study one |Case #1]]
-* [http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=233&topcategory=Foot American Orthopaedic Foot and Ankle Society]
-* [http://www.aapsm.org/neuroma.html American Academy of Podiatric Sports Medicine]
-[[Category:Anatomical pathology]]
+== External links ==
+* [http://www.aapsm.org/neuroma.html American Academy of Podiatric Sports Medicine]
 {{PNS diseases of the nervous system}}
-{{SIB}}
+{{WH}}
-{{WH}}
 {{WS}}
+[[Category:Disease]]
+[[Category:Types of cancer]]
+[[Category:Oncology]]
+[[Category:Neurology]]
+[[Category:Anatomical pathology]]
+[[Category:Mature chapter]]
+ [[Category:Up-To-Date]]
+[[Category:Oncology]]
+[[Category:Medicine]]
+[[Category:Orthopedics]]


Morton's neuroma
The plantar nerves.
ICD-10	G57.6
ICD-9	355.6
DiseasesDB	8356