Transection of the deep metatarsal transverse ligament in Morton's neuroma surgery does not increase risk of splayfoot development

International Orthopaedics
Maximilian Kasparek, Wolfgang Schneider

Abstract

Although operative excision is regarded as the treatment of choice in Morton's neuroma, it remains unclear whether transection of deep transverse metatarsal ligament (DTML) is a risk for metatarsal splaying and whether simultaneous surgery in adjacent intermetatarsal spaces is a risk for osteonecrosis of the adjacent metatarsals. Fifty-seven feet in 47 patients had excision of a Morton's neuroma, with a mean follow-up of 15.3 years. Feet were categorised depending upon whether the DTML was or was not divided. Pre-operative and post-operative intermetatarsal angles were measured on standardised weightbearing radiographs and inspected for evidence of osteonecrosis. Comparison of pre- and post-operative intermetatarsal angles in patients with surgery in the second web space showed no significant increase (transected p = 0.659, preserved p = 0.142). In regards to comparison of pre- and post-operative radiographic intermetatarsal angles in patients with surgery in the third web space, statistical analysis also did not show a significance increase (transected p = 0.240, preserved p = 0.078). Radiological assessment showed no signs of osteonecrosis of metatarsal heads, not even in cases of double-space surgery. In conclusion, DTML tra...Continue Reading

References

Dec 1, 1989·Foot & Ankle·N C Bayliss, L Klenerman
Nov 1, 1984·Foot & Ankle·C E Graham, D M Graham
Jan 1, 1983·Foot & Ankle·R A Mann, J C Reynolds
Feb 1, 1995·The Journal of Bone and Joint Surgery. American Volume·K J JonesA Cracchiolo
Dec 1, 1995·Foot & Ankle International·G L BennettD M Mauldin
May 1, 1997·Foot & Ankle International·B OkaforJ Angel
Jul 4, 2002·Foot & Ankle International·W J PetersenJ Hassenpflug
May 9, 2003·Foot & Ankle International·Renée A FuhrmannWolf D Wetzel
May 23, 2003·Foot and Ankle Clinics·David Kay, Gordon L Bennett
Mar 3, 2004·Foot & Ankle International·Sandro GianniniFrancesca Vannini
Jul 22, 2004·The Cochrane Database of Systematic Reviews·C E ThomsonD Martin
Jun 14, 2008·Foot & Ankle International·John W WomackSusan N Ishikawa
Nov 22, 2008·Surgical and Radiologic Anatomy : SRA·Björn RathJürgen Koebke
Dec 17, 2008·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Christian AkermarkZbigniew Zuber
Jun 2, 2009·International Orthopaedics·Alistair PaceSunil Dhar
Apr 11, 2012·The Journal of Bone and Joint Surgery. American Volume·Caio NeryNicola Maffulli
Jul 16, 2013·International Orthopaedics·Maximilian Kasparek, Wolfgang Schneider

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.