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Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily

The present article described the case of a voluminous Morton's neuroma of the third intermetatarsal space in a patient affected by macrodactily. The case was unique because of its dimensions, the uncommon surgical approach which was needed for removal, the association with macrodactily of the...

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Autores principales: Di Caprio, Francesco, Meringolo, Renato, Navarra, Maria Adiletta, Mosca, Massimiliano, Ponziani, Lorenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236321/
https://www.ncbi.nlm.nih.gov/pubmed/34195540
http://dx.doi.org/10.1055/s-0040-1712112
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author Di Caprio, Francesco
Meringolo, Renato
Navarra, Maria Adiletta
Mosca, Massimiliano
Ponziani, Lorenzo
author_facet Di Caprio, Francesco
Meringolo, Renato
Navarra, Maria Adiletta
Mosca, Massimiliano
Ponziani, Lorenzo
author_sort Di Caprio, Francesco
collection PubMed
description The present article described the case of a voluminous Morton's neuroma of the third intermetatarsal space in a patient affected by macrodactily. The case was unique because of its dimensions, the uncommon surgical approach which was needed for removal, the association with macrodactily of the fourth toe with Raynaud's phenomenon, and the postoperative defect in the intrinsic muscles. The patient was operated in February 2016 by transverse plantar approach. Twelve months after surgery, the patient complained for hypoesthesia on third and fourth toes with inability to actively spread the toes and enlargement in the second interdigital space. The dimensions of the lesions may be explained with the presence of macrodactily in the fourth toe with occasional Raynaud's phenomenon, which may have caused an abnormal arrangement of the nerve branches for the fourth interspace with related microtrauma. A plantar approach was highly recommended as the size of the lesion forced it to the plantar surface of the foot. The inability to actively spread the toes and the enlargement of the second interdigital space are likely to be related to a deficiency of the interosseous muscles, innervated by the deep branch of the lateral plantar nerve, which had probably been sacrificed because of the size of the lesion and the subversion of the surrounding anatomical relationships.
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spelling pubmed-82363212021-06-29 Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily Di Caprio, Francesco Meringolo, Renato Navarra, Maria Adiletta Mosca, Massimiliano Ponziani, Lorenzo Joints The present article described the case of a voluminous Morton's neuroma of the third intermetatarsal space in a patient affected by macrodactily. The case was unique because of its dimensions, the uncommon surgical approach which was needed for removal, the association with macrodactily of the fourth toe with Raynaud's phenomenon, and the postoperative defect in the intrinsic muscles. The patient was operated in February 2016 by transverse plantar approach. Twelve months after surgery, the patient complained for hypoesthesia on third and fourth toes with inability to actively spread the toes and enlargement in the second interdigital space. The dimensions of the lesions may be explained with the presence of macrodactily in the fourth toe with occasional Raynaud's phenomenon, which may have caused an abnormal arrangement of the nerve branches for the fourth interspace with related microtrauma. A plantar approach was highly recommended as the size of the lesion forced it to the plantar surface of the foot. The inability to actively spread the toes and the enlargement of the second interdigital space are likely to be related to a deficiency of the interosseous muscles, innervated by the deep branch of the lateral plantar nerve, which had probably been sacrificed because of the size of the lesion and the subversion of the surrounding anatomical relationships. Georg Thieme Verlag KG 2020-05-20 /pmc/articles/PMC8236321/ /pubmed/34195540 http://dx.doi.org/10.1055/s-0040-1712112 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Di Caprio, Francesco
Meringolo, Renato
Navarra, Maria Adiletta
Mosca, Massimiliano
Ponziani, Lorenzo
Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily
title Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily
title_full Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily
title_fullStr Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily
title_full_unstemmed Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily
title_short Five Centimeters Morton's Neuroma in a 46-Year-Old Woman Affected by Macrodactily
title_sort five centimeters morton's neuroma in a 46-year-old woman affected by macrodactily
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236321/
https://www.ncbi.nlm.nih.gov/pubmed/34195540
http://dx.doi.org/10.1055/s-0040-1712112
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