Morton's Neuroma Flashcards
1
Q
Pathogenesis of Morton’s neuroma?
A
Plantar interdigital nerves overlying intermetatarsal ligaments
2
Q
Neuroma?
A
When irritated nerves become inflamed and swollen
3
Q
Aetiology of Morton’s neuroma?
A
- Females more likely
- Wearing high heels implicated
- 3rd interspace is most commonly involved by second
4
Q
Signs/symptoms of morton’s neuroma?
A
- Burning pain
- Tingling
- Radiating into affected toes
- Clinical examination reveals loss f sensation in affected web space
- Mulder’s click test produce click
5
Q
What would clinical examination of Morton’s neuroma reveal?
A
- Loss of sensation in affected web space
- Mulder’s click tests: medio-lateral compression of metatarsal heads
6
Q
What is Mulder’s test?
A
Squeezing forefoot with hands
7
Q
What will a positive Mulder’s test do?
A
Reproduce symptoms
Produce click
8
Q
Investigation of Mulder’s test?
A
US: demonstrate swollen nerve
9
Q
Conservative treatment of Morton’s neuroma?
A
Metatarsal pad
Offloading insole
Steroid & local anaesthetic injections: relieve symptoms & aid diagnosis
10
Q
Severe treatment of Morton’s neuroma?
A
-Surgical excision of neuroma
