[Anatomic danger of percutaneous section of the inter-metatarsal ligament for the treatment of Morton's neuroma].
Certain authors have proposed percutaneous neurolysis of Morton's neuroma. We conducted a human anatomy study to assess the reliability and the iatrogenic effect of percutaneous section of the ligament. Percutaneous section of the inter-metatarsal ligament was performed on 16 fresh cadaver specimens via a dorsal approach. The plantar dissection demonstrated that the section was not complete, without associated lesion, in only six cases. Analyzing these failures, we determined the necessary procedure for correct section.
Clinique Ambroise Paré, 387, route de Saint-Simon, 31100 Toulouse. f.fabie@wanadoo.fr
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D002102:Cadaver; D004210:Dissection; D005534:Foot Diseases / Q000473:pathology / Q000601:surgery*; D006801:Humans; D017746:Joint Capsule / Q000473:pathology; D008023:Ligaments, Articular / Q000473:pathology*; D008682:Metatarsal Bones / Q000098:blood supply / Q000294:innervation / Q000473:pathology*; D008683:Metatarsophalangeal Joint / Q000098:blood supply / Q000294:innervation / Q000473:pathology*; D018365:Neoplasm, Residual / Q000473:pathology; D009463:Neuroma / Q000473:pathology / Q000601:surgery*