title: Management of Painful Recurrent Intermetatarsal Neuroma Using Processed Porcine Extracellular Matrix Material: A Case Report.
abstract: Painful recurrent stump neuroma presents a common clinical problem following the transection of a nerve after initial interdigital neuroma excision but there is no gold standard of treatment. A patient presented with pain symptoms consistent with recurrent intermetatarsal stump neuroma after undergoing previous surgery to excise a Hauser neuroma. The recurrent stump neuroma was excised and the resulting nerve was capped and implantation into intrinsic muscle. Postoperatively, the patient experienced a complete resolution of pain and return of normal function. This article discusses capping material characteristics and considers the factors that may contribute to clinical success.
authors.affiliation: American Board of Foot and Ankle Surgery, Houston, TX, USA.
authors.forename: Robert G
authors.initials: RG
authors.lastname: Parker
authors.affiliation: AxoGen, Inc, Alachua, FL, USA. Electronic address: omerced-oneill@axogeninc.com.
authors.forename: Orlando
authors.initials: O
authors.lastname: Merced-O'Neil
mesh_terms: D000818:Animals; D001684:Biological Dressings; D005109:Extracellular Matrix; D005260:Female; D006801:Humans; D008875:Middle Aged; D000070607:Morton Neuroma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010146:Pain / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012008:Recurrence; D013552:Swine
keywords: Intermetatarsal stump neuroma; Nerve wrap; Processed porcine extracellular matrix nerve wrap; Recurrent neuroma; Stump neuroma; True neuroma