Morton neurom G57.6

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 03.08.2021

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Synonym(s)

Morton Neurom; Morton's Metatarsalgia; Morton`s neuroma; Morton's neuroma

History
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Morton TG 1876

Definition
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Reactive-traumatic neuroma between the toes or metatarsal heads leading to a circumscribed, stabbing stress pain in the forefoot area.

Manifestation
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Morton's neuroma is the most common metatarsal disorder in women (occurring mainly in older women who used to wear "high heels" frequently - incorrect loading). But also men - especially running athletes - are often affected by metatarsalgia.

Localization
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The typical and most common site of pain in Morton's neuroma is in the space between the toes between the 3rd and 4th metatarsals.

Clinical features
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Unilateral, point-like forefoot pain (metatarsalgia), especially when wearing tight shoes. The pain disappears after taking off the shoes and massaging the toes. Occasionally also night pain. Numbness in the toes. The pain is typically described as "shooting stabbing", like "electric current".

Histology
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Diagnosis
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Morton's neuralgia, or its pain pattern, can be provoked by simultaneous pressure from above and below the foot, just behind the metatarsal heads (bi-directional compression).

Therapy
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Operative removal of the Morton's neuroma (amputation neuroma).

Literature
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  1. Morton TG (1876) A peculiar and painful affetion of the fourth metatarso-phalangeal articulation. On J Med Sci 71: 37-45
  2. Park YH et al (2017) The role of the width of the forefoot in the development of Morton's neuroma. Bone joint J 99-B(3):365-368.

Incoming links (1)

Neurom traumatic;

Outgoing links (1)

Neurom traumatic;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 03.08.2021