[Artículo traducido] ¿Es la descompresión endoscópica del neuroma de Morton una técnica segura?

Q3 Medicine

Revista Espanola de Cirugia Ortopedica y Traumatologia Pub Date : 2025-07-01 DOI:10.1016/j.recot.2025.04.009

L. López-Capdevila , M. Ballester , G. Lucar , T. Mota-Gomes , M. Fa-Binefa , S. López-Hervás

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引用次数: 0

Abstract

Introduction

Morton's neuroma is predominantly attributed to chronic nerve entrapment within third space adjacent metatarsals, the deep transverse metatarsal ligament (DTML), and the plantar skin. While conservative treatments are of election, failures require alternative interventions such as ultrasound-guided injections and various surgical procedures, including minimally invasive neurectomy and DTML release. This study aimed to anatomically assess the risks associated with the endoscopic dorsal surgical decompression of Morton's neuroma.

Materials and methods

Twenty feet from ten fresh-frozen cadaveric specimens underwent a dorsal percutaneous approach for endoscopic access. Surgical procedures were monitored by three foot and ankle surgeons. Post-surgical anatomical dissections were conducted to evaluate potential risks to surrounding structures.

Results

The endoscopic technique successfully sectioned the DMTL in all specimens (100%) without iatrogenic injury of tendons, nerves, or arteries, while lumbricals may be at risk.

Conclusion

Endoscopic dorsal decompression of Morton's neuroma presents as an accessible minimally invasive surgical option with low risk of collateral associated injuries.

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内镜减压莫顿神经瘤是一种安全的技术吗？

莫顿神经瘤主要是由于临近跖骨的第三间隙、跖骨深横韧带（DTML）和足底皮肤的慢性神经卡压。虽然保守治疗是一种选择，但失败需要其他干预措施，如超声引导注射和各种外科手术，包括微创神经切除术和DTML释放。本研究旨在解剖评估内镜下背侧手术减压莫顿神经瘤的相关风险。材料和方法采用背侧经皮入路对10个新鲜冷冻尸体标本进行内窥镜检查。手术过程由三名足部和踝关节外科医生监督。术后进行解剖解剖以评估对周围结构的潜在风险。结果所有标本（100%）均成功切除DMTL，无肌腱、神经或动脉的医源性损伤，但蚓样可能存在风险。结论内镜下Morton神经瘤背侧减压术是一种微创手术方法，且侧支相关损伤风险低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Cirugia Ortopedica y Traumatologia Medicine-Surgery

CiteScore

1.10

自引率

0.00%

发文量

156

审稿时长

51 weeks

期刊介绍： Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.