Differential diagnosis and treatment of Morton’s neuroma in ambulatory surgical practice
https://doi.org/10.21518/1995-1477-2020-1-2-89-94
Abstract
Introduction. Diagnosis of Mortoan neuroma in some cases does not cause much difficulty and is based on typical signs, but in some cases it presents certain difficulties. Therapeutic tactics for this disease involves the use of conservative or surgical treatment.
Aim. Study of the results of differential diagnosis of Morton’s neuroma in the practice of an outpatient surgeon.
Material and methods. A study of the results of diagnostics and differential diagnostics in 15 patients with chronic foot pain at the age of 28 to 46 years was conducted. Among them, there were 14 women and 1 man. Differential diagnostics for foot pain syndromes allowed us to distinguish three groups of patients. The first group included 7 patients with Morton’s neuroma. The second group included 4 patients with plantar fasciitis and the third group-4 patients with arthritis, synoviitis of the metatarsophalangeal joints. To conduct differential diagnostics, we used anamnesis, physical examination, and data from instrumental diagnostic methods.
Results. Diagnosis of Morton’s neuroma was based on the use of standard research methods (anamnesis, data from a physical instrumental examination of the foot). It should be noted the importance of ultrasound examination of the soft tissues of the foot on the plantar surface for the diagnosis of Morton’s neuroma. This allows for differential diagnosis with foot diseases such as plantar fasciitis and metatarsophalangeal joint synovitis, which may show similar symptoms.
Conclusion. Morton’s neuroma is not a rare disease of the foot, which in the initial stages of the disease has a blurred clinical picture, similar to other diseases of the foot. This can lead to diagnostic errors, but the use of modern diagnostic methods, including sonographic methods, allows in most cases to establish an accurate diagnosis and choose an appropriate treatment strategy.
About the Authors
V. N. Korobkov
Kazan State Medical Academy
Russian Federation
Russian Federation
Vladimir N. Korobkov, Cand. of Sci. (Med.), associate professor of the Department of surgery
36, Butlerov St., Kazan, 420012, Russia
V. A. Filippov
Kazan State Medical Academy
Russian Federation
Russian Federation
Viacheslav A. Filippov, Cand. of Sci. (Med.), associate professor of the Department of surgery
Scopus: 7202667118
36, Butlerov St., Kazan, 420012, Russia
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For citations:
Korobkov V.N., Filippov V.A. Differential diagnosis and treatment of Morton’s neuroma in ambulatory surgical practice. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2020;(1-2):89-94. (In Russ.) https://doi.org/10.21518/1995-1477-2020-1-2-89-94
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