Adjacent interdigital nerve irritation: single incision surgical treatment.
Twenty-three patients with clinical signs of adjacent intermetatarsal nerve irritation who underwent adjacent nerve release with single-nerve excision through one incision were studied. Mean follow-up was 11 months. Of 21 patients interviewed, 19 (90%) had resolution of all or most of their pain, 20 (95%) had no or only minimal activity limitation, and 20 (95%) were completely satisfied with their outcome. Of 19 patients examined, none had pain with compression of the interspace of the excised nerve, although two (11%) had discomfort with compression of the interspace of the nerve that was only released. Protective sensation was present postoperatively in all patients except one who had preoperative neuropathy.
Hort
Kurtis R
KR
Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, Florida 32224, USA.
DeOrio
James K
JK
D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000294:innervation*; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology* / Q000601:surgery*; D009463:Neuroma / Q000150:complications* / Q000601:surgery; D010146:Pain / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications; D016896:Treatment Outcome