title: The recurrent Morton neuroma: what now?
abstract: Interdigital neuromas are a common cause of forefoot pain, and approximately 80% of patients require surgical excision for symptom relief. Although 50% to 85% of patients obtain relief after primary excision, symptoms may recur because of an incorrect diagnosis, inadequate resection, or adherence of pressure on a nerve stump neuroma. The symptom relief rate after reoperation is similar to that after primary excision. A plantar longitudinal incision provides optimal exposure, and transposition of the nerve stump into bone or muscle and avoids traction or pressure on the nerve ending that can result in a painful stump neuroma. Preoperative counseling is essential to align patient expectations with potential outcomes.
authors.affiliation: Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. Electronic address: drrichardson@campbellclinic.com.
authors.forename: David R
authors.initials: DR
authors.lastname: Richardson
authors.affiliation: Crystal Clinic Orthopaedic Center, 1310 Corporate Drive, Hudson, OH 44236, USA.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Dean
mesh_terms: D006801:Humans; D009364:Neoplasm Recurrence, Local; D009463:Neuroma / Q000175:diagnosis / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D012008:Recurrence; D012086:Reoperation
keywords: Interdigital neuroma; Nerve transposition; Recurrence; Surgical exposures; Surgical treatment