대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제19권2호
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  • Pages.58-62
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  • 2015
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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모턴씨 신경종의 수술적 치료를 위한 중족골 교정 절골술

Corrective Osteotomy of Metatarsal Bone for Surgical Treatment of Morton's Neuroma

  • 주인탁 (대한민국정형외과병원) ;
  • 장호성 (단국대학교 의과대학 정형외과학교실) ;
  • 박현우 (단국대학교 의과대학 정형외과학교실)
  • Chu, Intak (Korea Orthopedics Clinic for Special Surgery) ;
  • Jang, Hoseong (Department of Orthopedic Surgery, Dankook University College of Medicine) ;
  • Park, Hyun-Woo (Department of Orthopedic Surgery, Dankook University College of Medicine)
  • 투고 : 2015.04.12
  • 심사 : 2015.05.10
  • 발행 : 2015.06.15
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초록

Purpose: The purpose of this report is to investigate the clinical and radiological results of corrective osteotomy of the 3rd metatarsal bone for shortening and dorsal displacement without exposure around neuroma. Materials and Methods: Twelve cases of patients who underwent corrective osteotomy of metatarsal bone for a Morton's neuroma from November 2013 to September 2014 were retrospectively reviewed. Corrective osteotomy was performed through a dorsal approach at the 3rd metatarsal bone base and distal metatarsal bone was displaced dorsally and proximally. Preoperative and postoperative pain assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score and radiographs were evaluated. Results: The mean age of patients was 41.4 years, and the mean follow-up period was 10.7 months. AOFAS score improved from 52 preoperatively to 90 postoperatively. The 3rd metatarsal bone was shortened by an average of 3.39 mm and elevated by 2.38 mm. Conclusion: Corrective osteotomy of metatarsal bone can be regarded as a new surgical option for Morton's neuroma without exposure around neuroma.

키워드

참고문헌

  1. Gauthier G. Thomas Morton's disease: a nerve entrapment syndrome. A new surgical technique. Clin Orthop Relat Res. 1979;(142):90-2.
  2. Rasmussen MR, Kitaoka HB, Patzer GL. Nonoperative treatment of plantar interdigital neuroma with a single corticosteroid injection. Clin Orthop Relat Res. 1996;(326):188-93.
  3. Kay D, Bennett GL. Morton's neuroma. Foot Ankle Clin. 2003;8:49-59. https://doi.org/10.1016/S1083-7515(03)00004-4
  4. Bennett GL, Graham CE, Mauldin DM. Morton's interdigital neuroma: a comprehensive treatment protocol. Foot Ankle Int. 1995;16:760-3. https://doi.org/10.1177/107110079501601204
  5. Shapiro SL. Endoscopic decompression of the intermetatarsal nerve for Morton's neuroma. Foot Ankle Clin. 2004;9:297-304. https://doi.org/10.1016/j.fcl.2003.12.004
  6. Kasparek M, Schneider W. Surgical treatment of Morton's neuroma: clinical results after open excision. Int Orthop. 2013;37:1857-61. https://doi.org/10.1007/s00264-013-2002-6
  7. Fabi F, Accadbled F, Tricoire JL, Puget J. Anatomic danger of percutaneous section of the inter-metatarsal ligament for the treatment of Morton's neuroma. Rev Chir Orthop Reparatrice Appar Mot. 2007;93:720-4. https://doi.org/10.1016/S0035-1040(07)73257-9
  8. Zelent ME, Kane RM, Neese DJ, Lockner WB. Minimally invasive Morton's intermetatarsal neuroma decompression. Foot Ankle Int. 2007;28:263-5. https://doi.org/10.3113/FAI.2007.0263
  9. Stamatis ED, Karabalis C. Interdigital neuromas: current state of the art--surgical. Foot Ankle Clin. 2004;9:287-96. https://doi.org/10.1016/S1083-7515(03)00156-6
  10. Maestro M, Besse JL, Ragusa M, Berthonnaud E. Forefoot morphotype study and planning method for forefoot osteotomy. Foot Ankle Clin. 2003;8:695-710. https://doi.org/10.1016/S1083-7515(03)00148-7
  11. Mulder JD. The causative mechanism in morton's metatarsalgia. J Bone Joint Surg Br. 1951;33-B:94-5. https://doi.org/10.1302/0301-620X.33B1.94
  12. Mendicino SS, Rockett MS. Morton's neuroma. Update on diagnosis and imaging. Clin Podiatr Med Surg. 1997;14:303-11.
  13. Sharp RJ, Wade CM, Hennessy MS, Saxby TS. The role of MRI and ultrasound imaging in Morton's neuroma and the effect of size of lesion on symptoms. J Bone Joint Surg Br. 2003;85:999-1005. https://doi.org/10.1302/0301-620X.85B7.12633
  14. Coughlin MJ, Pinsonneault T. Operative treatment of interdigital neuroma. A long-term follow-up study. J Bone Joint Surg Am. 2001;83:1321-8. https://doi.org/10.2106/00004623-200109000-00005
  15. Johnson JE, Johnson KA, Unni KK. Persistent pain after excision of an interdigital neuroma. Results of reoperation. J Bone Joint Surg Am. 1988;70:651-7. https://doi.org/10.2106/00004623-198870050-00003
  16. Akermark C, Saartok T, Zuber Z. A prospective 2-year followup study of plantar incisions in the treatment of primary intermetatarsal neuromas (Morton's neuroma). Foot Ankle Surg. 2008;14:67-73. https://doi.org/10.1016/j.fas.2007.10.004
  17. Kim JY, Choi JH, Park J, Wang J, Lee I. An anatomical study of Morton's interdigital neuroma: the relationship between the occurring site and the deep transverse metatarsal ligament (DTML). Foot Ankle Int. 2007;28:1007-10. https://doi.org/10.3113/FAI.2007.1007
  18. Hofstaetter SG, Hofstaetter JG, Petroutsas JA, Gruber F, Ritschl P, Trnka HJ. The Weil osteotomy: a seven-year follow-up. J Bone Joint Surg Br. 2005;87:1507-11.
  19. Khurana A, Kadamabande S, James S, Tanaka H, Hariharan K. Weil osteotomy: assessment of medium term results and predictive factors in recurrent metatarsalgia. Foot Ankle Surg. 2011;17:150-7. https://doi.org/10.1016/j.fas.2010.04.003
  20. Bauer T, Gaumetou E, Klouche S, Hardy P, Maffulli N. Metatarsalgia and Morton's disease: comparison of outcomes between open procedure and neurectomy versus percutaneous metatarsal osteotomies and ligament release with a minimum of 2 years of follow-up. J Foot Ankle Surg. 2015;54:373-7. https://doi.org/10.1053/j.jfas.2014.08.009
  21. Myerson MS. The diagnosis and treatment of injury to the tarsometatarsal joint complex. J Bone Joint Surg Br. 1999;81:756-63. https://doi.org/10.1302/0301-620X.81B5.10369

피인용 문헌

  1. Morton's Neuroma vol.52, pp.4, 2017, https://doi.org/10.4055/jkoa.2017.52.4.298