A Guide To Endoscopic Decompression For Intermetatarsal Neuromas

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Michael M. Fanous, DPM, MHA, MS

   Dr. Fanous is the President as well as a Fellow and the Co-Scientific Chairman of the Academy of Ambulatory Foot and Ankle Surgery. He is the President and CEO of Advanced Medical Management, a medical consulting firm. Dr. Fanous is a former founder and Director of Podiatric Medical Education and Residency Training Program at Anaheim General Hospital in Anaheim, Calif. He is in private practice in Southern California.

   Dr. Fanous notes the opinions and assertions contained herein are his views and should not be construed as reflecting the views of the Academy of Ambulatory Foot and Ankle Surgery.


1. Bartolomei FJ, Wertheimer SJ. Intermetatarsal neuroma: distribution and etiologic factors. J Foot Surg. 1983; 22(4):279-282.
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3. Tate RO, Rusin JJ. Morton’s Neuroma: its ultrastructure anatomy and biomechanical etiology. J Am Podiatry Assoc. 1978; 68(12):797-807.
4. Addante JB, Peicott PS, Wong KY, Brooks D. Interdigital neuromas. Results of surgical excision of 152 neuromas. J Am Podiatr Med Assoc. 1986; 76(9):493-495.
Additional References
5. Silverman LJ. Morton’s toe or Morton’s neuralgia. J Am Podiatry Assoc. 1976; 66(10):749-756.
6. Alexander IJ, Johnson KA, Parr JW. Morton’s neuroma: a review of recent concepts. Orthopedics. 1987; 10(1):103-106.
7. Miller SJ. Morton’s neuroma, A syndrome. In: McGlamry ED, Banks AS, Downey MS, eds. Comprehensive Textbook of Foot Surgery. Williams and Wilkins, Baltimore, Chapter 11, pp. 304-317, 1987.
8. Berlin SJ, Donick II, Block LD, Costa AJ. Nerve tumors of the foot: diagnosis and treatment. J Am Podiatry Assoc. 1975; 65(2):157-166.
9. Gauthier G. Thomas Morton’s disease: a nerve entrapment syndrome- a new surgical technique. Clin Orthop. 1979; 142:90-107.
10. Bossley CJ, Cairney PC. The intermetatarso-phalangeal bursa-its significance in Morton’s metatarsalgia. J Bone Joint Surg. 1980; 62B(2):184-191.

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Vincent Rascon, DPMsays: September 13, 2011 at 11:27 pm

Great paper! I have been doing decompressions for Morton's entrapment for 12 years now and definitely have seen the results of patients pain relief from this procedure. We should acknowledge Stephen L. Barrett, DPM, who developed this procedure and surgical pictures you have used in your paper. Dr. Barrett is sited numerous times in the literature for his work on this condition and procedure. Thanks to Dr. Barrett for thinking outside the box on this condition and understanding the pathophysiology of a true nerve entrapment ( not a neuroma). I am sure I speak for many surgeons who were trained in this procedure and see the results firsthand.

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Hector Cervantes, DPM, FACFASsays: September 23, 2011 at 8:25 pm

I agree with Dr. Rascon that Dr Barrett's work and pictures should be acknowledged in this paper as a professional courtesy.

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