The management of multiple Morton's neuromas in the same foot: A systematic review
Alshahwani, Awf Bhatia, Maneesh Arshad, Zaki
Alshahwani, Awf
Bhatia, Maneesh
Arshad, Zaki
Abstract
The optimal treatment strategy for the presentation of multiple Morton's neuromas in adjacent intermetatarsal spaces of the same foot is yet to be determined. We aimed to summarize and assess the efficacy of current treatment strategies. A systematic review, adhering to PRIMSA guidelines was performed. A computer base search was completed in PubMed, Embase, Cinahl, ISI Web of Science, Scopus and Emcare, for articles reporting the treatment of multiple neuromas in the same foot. The review is registered in the international prospective register of systematic reviews (CRD42020213631). A total of 253 articles were identified, with 7 articles being included in the review. The most common treatment strategy reported was simultaneous neuroma excision using a single incision, while 2 studies each describe simultaneous excision with 2 separate incisions and delayed excision respectively. There is no strong evidence favoring use of delayed excision or multiple incisions. Further high-quality research is required to make more definitive conclusions and future research should investigate other strategies such as non-operative treatment.
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Article
Subject
Morton's neuroma, Adjacent interspaces, Forefoot pain, Interdigital neuroma
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Citation
Arshad, Z., Alshahwani, A., & Bhatia, M. (2022). The Management of Multiple Morton's Neuromas in the Same Foot: A Systematic Review. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 61(1), 163–169. https://doi.org/10.1053/j.jfas.2021.08.003