Introduction: The plantar approach for management of a Morton neuroma allows the transverse metatarsal ligament to be spared, decreases the risk of damage to the dorsal cutaneous nerve branches, and has a low rate of complications with results comparable with those of other approaches.
Step 1 Incision: Make a transverse plantar skin incision distal to the metatarsal weight-bearing area.
Step 2 Exposure: Excise the connective tissues around the neuroma and expose the common digital nerve as far proximally as possible.
Background: When nonsurgical treatment of a Morton neuroma is unsuccessful, neurectomy is indicated. The purpose of the present retrospective study was to evaluate the long-term outcomes, complications, and adverse events following a distal plantar transverse incision for the excision of an intermetatarsal neuroma.
Methods: We conducted a retrospective review of 168 consecutive patients who underwent surgical excision of a Morton neuroma that had been unresponsive to nonsurgical treatment.
Background: Lateral ankle sprains account for 85% of ankle lesions.
Hypothesis: Combined open and arthroscopic procedures could improve the diagnosis and management of intra-articular lesions and allow surgeons to perform minimally invasive anatomic reconstruction of the lateral ligament complex.
Study Design: Case series; Level of evidence, 4.