A Closer Look At Endoscopic Nerve Decompression For Morton’s ‘Neuroma’

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Author(s): 
Damien Dauphinée, DPM, FACFAS, CWS-P

   Dr. Dauphinée is the President of the Texas Podiatric Medical Association. He is a Fellow of the American College of Foot and Ankle Surgeons, a Fellow of the American College of Certified Wound Specialists and a Fellow of the Association of Extremity Nerve Surgeons.

References
1. Morton TG. A peculiar and painful affection of the fourth metatarso-phalangeal articulation. Am J Med Sci. 1876; 71:37–9.
2. Morris MA. Morton’s metatarsalgia. Clin Orthop 1977; 127:203–7.
3. Gauthier G. Thomas Morton’s disease: a nerve entrapment syndrome. A new surgical technique. Clin Orthop. 1979; 142:90–2.
4. Barrett SL, Pignetti T. Endoscopic decompression for intermetatarsal nerve entrapment: the EDIN technique: preliminary study with cadaveric specimens; early clinical results.
J Foot Ankle Surg. 1994; 33(5):503.
5. Barrett SL, Walsh AS. Endoscopic decompression of intermetatarsal nerve entrapment: a retrospective study. J Am Podiatr Med Assoc. 2006; 96(1):19-23.

   Editor’s note: For related articles, see “A Guide To Endoscopic Decompression For Intermetatarsal Neuromas” in the September 2011 issue, “Point-Counterpoint: Nerve Decompression In Diabetic Patients: Should It Be Done?” in the June 2005 issue or “Nerve Decompression Study Offers Provocative Findings” in the November 2005 issue.

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Dr Craig Lowesays: July 24, 2012 at 1:57 pm

Microsurgical dissection with laser ablation of proximal and distal nerves works very well.

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