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Interdigital (Morton's) Neuroma

Historical

  • 1876 coined Morton’s Neuroma by Morton
  • Betts 1940 (Adelaide) described lesion of the digital n in 1/19 consecutive dissections of the third and fourth interspace

Other data since that time includes the following four points

  1. Pain stems from the terminal part of the common plantar digital n near point of division into two proper digital n in 3/4 cleft normally but occasionally the 2/3 cleft
  2. Entrapment of the nerve
  3. Cardinal sign is acute tenderness on moderate pressure applied upwards and backwards in appropriate web space
  4. Histology of lesions reveals three constant features
    • Atrophic changes in nerve itself
    • Fibrous proliferation
    • Obliterative changes in the contiguous artery

Contents

References

Webpage Last Modified: 31 July, 2011