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Morton neuroma

MedGen UID:
90231
Concept ID:
C0311337
Disease or Syndrome
Synonyms: Disease, Morton's; Intermetatarsal Neuroma; Intermetatarsal Neuromas; Metatarsalgia, Morton's; Morton Disease; Morton Metatarsalgia; Morton Neuralgia; Morton Neuroma; Morton's Disease; Morton's Metatarsalgia; Morton's Neuralgia; Morton's Neuroma; Mortons Disease; Mortons Metatarsalgia; Mortons Neuralgia; Mortons Neuroma; Neuralgia, Morton's; Neuroma, Intermetatarsal; Neuroma, Morton; Neuroma, Morton's; Neuromas, Intermetatarsal
SNOMED CT: Mortons neuroma (30085007); Morton's neuroma (16224871000119101); Morton neuroma (16224871000119101); Interdigital neuralgia (30085007); Interdigital neuroma (30085007); Morton metatarsalgia (30085007); Morton neuroma (30085007); Morton's metatarsalgia (30085007); Morton's neuralgia (30085007); Morton's neuroma (30085007); Morton's toe (30085007); Morton's disease (30085007)
 
Monarch Initiative: MONDO:0700058

Definition

Swelling and inflammation of the nerve between the ends of the metatarsal bones at the base of the toes. It is caused by compression of the nerve, usually between the third and fourth toes. It results in a burning, sharp pain and numbness on the bottom of the foot in the area involved. Symptoms may resolve by resting the foot, taking anti-inflammatory drugs, applying ice packs, or injecting cortisone at the site. Persistent symptoms require surgical excision of the affected nerve. [from NCI]

Term Hierarchy

Professional guidelines

PubMed

Climent JM, Mondéjar-Gómez F, Rodríguez-Ruiz C, Díaz-Llopis I, Gómez-Gallego D, Martín-Medina P
Clin Drug Investig 2013 Jul;33(7):497-503. doi: 10.1007/s40261-013-0090-0. PMID: 23740337Free PMC Article
Zanetti M, Weishaupt D
Semin Musculoskelet Radiol 2005 Sep;9(3):175-86. doi: 10.1055/s-2005-921938. PMID: 16247719
Ashman CJ, Klecker RJ, Yu JS
Radiographics 2001 Nov-Dec;21(6):1425-40. doi: 10.1148/radiographics.21.6.g01nv071425. PMID: 11706214

Recent clinical studies

Etiology

Lorenzon P, Rettore C, Scalvi A
Acta Biomed 2022 Mar 10;92(S3):e2021556. doi: 10.23750/abm.v92iS3.12545. PMID: 35604266Free PMC Article
Matthews BG, Hurn SE, Harding MP, Henry RA, Ware RS
J Foot Ankle Res 2019;12:12. Epub 2019 Feb 13 doi: 10.1186/s13047-019-0320-7. PMID: 30809275Free PMC Article
Hodes A, Umans H
Radiol Clin North Am 2018 Nov;56(6):877-892. doi: 10.1016/j.rcl.2018.06.004. PMID: 30322488
Valisena S, Petri GJ, Ferrero A
Foot Ankle Surg 2018 Aug;24(4):271-281. Epub 2017 Apr 5 doi: 10.1016/j.fas.2017.03.010. PMID: 29409240
Wu KK
Curr Opin Rheumatol 2000 Mar;12(2):131-42. doi: 10.1097/00002281-200003000-00007. PMID: 10751016

Diagnosis

Cooper MT
JAMA 2023 Dec 19;330(23):2285-2294. doi: 10.1001/jama.2023.23906. PMID: 38112812
Mak MS, Chowdhury R, Johnson R
Clin Radiol 2021 Mar;76(3):235.e15-235.e23. Epub 2020 Nov 7 doi: 10.1016/j.crad.2020.10.006. PMID: 33168237
Charen DA, Markowitz JS, Cheung ZB, Matijakovich DJ, Chan JJ, Vulcano E
Orthopedics 2019 Jan 1;42(1):e138-e143. Epub 2018 Dec 13 doi: 10.3928/01477447-20181206-06. PMID: 30540873
Hodes A, Umans H
Radiol Clin North Am 2018 Nov;56(6):877-892. doi: 10.1016/j.rcl.2018.06.004. PMID: 30322488
De Maeseneer M, Madani H, Lenchik L, Kalume Brigido M, Shahabpour M, Marcelis S, de Mey J, Scafoglieri A
Radiographics 2015 Sep-Oct;35(5):1469-82. Epub 2015 Aug 18 doi: 10.1148/rg.2015150028. PMID: 26284303

Therapy

Cooper MT
JAMA 2023 Dec 19;330(23):2285-2294. doi: 10.1001/jama.2023.23906. PMID: 38112812
Nazim B Tengku Yusof T, Seow D, Vig KS
J Am Podiatr Med Assoc 2022 May-Jun;112(3) doi: 10.7547/18-191. PMID: 34878537
Thomson L, Aujla RS, Divall P, Bhatia M
Foot Ankle Surg 2020 Oct;26(7):736-743. Epub 2019 Nov 2 doi: 10.1016/j.fas.2019.09.009. PMID: 31718949
Matthews BG, Hurn SE, Harding MP, Henry RA, Ware RS
J Foot Ankle Res 2019;12:12. Epub 2019 Feb 13 doi: 10.1186/s13047-019-0320-7. PMID: 30809275Free PMC Article
Valisena S, Petri GJ, Ferrero A
Foot Ankle Surg 2018 Aug;24(4):271-281. Epub 2017 Apr 5 doi: 10.1016/j.fas.2017.03.010. PMID: 29409240

Prognosis

Sato G, Ferreira GF, Sevilla D, Oliveira CN, Lewis TL, Dinato MCME, Pereira Filho MV
Int Orthop 2022 Dec;46(12):2829-2835. Epub 2022 Aug 29 doi: 10.1007/s00264-022-05557-0. PMID: 36031662
Raouf T, Rogero R, McDonald E, Fuchs D, Shakked RJ, Winters BS, Daniel JN, Pedowitz DI, Raikin SM
Foot Ankle Int 2019 Sep;40(9):1032-1036. Epub 2019 May 29 doi: 10.1177/1071100719851121. PMID: 31142153
Park YH, Kim TJ, Choi GW, Kim HJ
J Ultrasound Med 2019 Apr;38(4):1009-1014. Epub 2018 Sep 23 doi: 10.1002/jum.14787. PMID: 30244477
Tagliafico A, Bignotti B, Martinoli C
Semin Musculoskelet Radiol 2016 Nov;20(5):453-460. Epub 2016 Dec 21 doi: 10.1055/s-0036-1594282. PMID: 28002867
De Maeseneer M, Madani H, Lenchik L, Kalume Brigido M, Shahabpour M, Marcelis S, de Mey J, Scafoglieri A
Radiographics 2015 Sep-Oct;35(5):1469-82. Epub 2015 Aug 18 doi: 10.1148/rg.2015150028. PMID: 26284303

Clinical prediction guides

Matthews BG, Thomson CE, Harding MP, McKinley JC, Ware RS
Cochrane Database Syst Rev 2024 Feb 9;2(2):CD014687. doi: 10.1002/14651858.CD014687.pub2. PMID: 38334217Free PMC Article
Cooper MT
JAMA 2023 Dec 19;330(23):2285-2294. doi: 10.1001/jama.2023.23906. PMID: 38112812
Xu W, Zhang N, Li Z, Wang Y, Li X, Wang Y, Si H, Hu Y
BMC Musculoskelet Disord 2022 Oct 6;23(1):898. doi: 10.1186/s12891-022-05858-w. PMID: 36203146Free PMC Article
Nazim B Tengku Yusof T, Seow D, Vig KS
J Am Podiatr Med Assoc 2022 May-Jun;112(3) doi: 10.7547/18-191. PMID: 34878537
Yañez Arauz JM
Foot Ankle Int 2020 Oct;41(10):1226-1233. Epub 2020 Jul 16 doi: 10.1177/1071100720936599. PMID: 32674597

Recent systematic reviews

Lorenzon P, Rettore C, Scalvi A
Acta Biomed 2022 Mar 10;92(S3):e2021556. doi: 10.23750/abm.v92iS3.12545. PMID: 35604266Free PMC Article
Nazim B Tengku Yusof T, Seow D, Vig KS
J Am Podiatr Med Assoc 2022 May-Jun;112(3) doi: 10.7547/18-191. PMID: 34878537
Thomson L, Aujla RS, Divall P, Bhatia M
Foot Ankle Surg 2020 Oct;26(7):736-743. Epub 2019 Nov 2 doi: 10.1016/j.fas.2019.09.009. PMID: 31718949
Matthews BG, Hurn SE, Harding MP, Henry RA, Ware RS
J Foot Ankle Res 2019;12:12. Epub 2019 Feb 13 doi: 10.1186/s13047-019-0320-7. PMID: 30809275Free PMC Article
Valisena S, Petri GJ, Ferrero A
Foot Ankle Surg 2018 Aug;24(4):271-281. Epub 2017 Apr 5 doi: 10.1016/j.fas.2017.03.010. PMID: 29409240

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