ArticleBMC musculoskeletal disorders2022
Plantar and dorsal approaches for excision of morton's neuroma: a comparison study.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis.Journal of foot and ankle research · 2023Pooled it
- Radiofrequency neurolysis versus surgical neurectomy for Morton's Neuroma.International orthopaedics · 2026Observational
- Osteomyelitis of the Third Metatarsal Mimicking a Neoplastic Lesion Due to a Retained Wooden Foreign Body.Cureus · 2026Article
- A preliminary exploration of plantar load distributions and foot postures in Taiwanese collegiate athletes with Morton's neuroma.BMC sports science, medicine & rehabilitation · 2025Article
- Infiltrative Type I Collagen in the Treatment of Morton's Neuroma: A Mini-Series.Journal of clinical medicine · 2023Article
- Revision Surgery for Recurrent Morton Neuroma with Use of a Collagen Conduit.JBJS essential surgical techniquesArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMorton's neuroma is a painful enlargement of the plantar digital nerve between the metatarsal heads that causes pain of the forefoot. Several approaches have been used to treat Morton's neuroma, each of them having distinct advantages and disadvantages.
objectivesThe purpose of this study was to investigate and compare the clinical outcomes of neurectomy in the treatment of Morton's neuroma through plantar and dorsal approaches. MATERIALS AND
methodsA total of 20 patients with a mean age of 48.5 ± 13.0 years (range: 19-66 years) who underwent excision of a Morton's neuroma that did not respond to conservative treatment were retrospectively analysed from June 2014 to June 2021. All the neurectomies were performed using a plantar or dorsal approach. Outcomes were evaluated using visual analogue scale (VAS) scores, American Orthopedic Foot and Ankle Society (AOFAS) scores, the Foot and Ankle Ability Measure (FAAM), and complications. The appearance index (AI) was also used to assess the influence of foot appearance on the quality of life after surgery.
resultsEight patients underwent neurectomy by the dorsal approach, and 12 patients underwent neurectomy by the plantar approach. The average follow-up time was 28.9 ± 12.9 months (range: 15-72 months). No statistically significant difference was found between the dorsal and plantar approach groups with respect to postoperative pain measured by the VAS score. The postoperative AOFAS scores and FAAM outcomes were not significantly different between the groups. The complications reported in the dorsal approach group were significantly less than those of the plantar group, mainly discomfort in wearing shoes. The AI of the plantar group and the dorsal group were significantly different.
conclusionThe excision of the Morton's neuroma by both the dorsal and plantar approach resulted in satisfactory outcomes. However, the foot appearance after surgery by the plantar approach had less influence on the quality of life than that using the dorsal approach. Our recommendation is that surgeons should choose the approach they are most familiar with and with which they are most confident in performing. In addition, the plantar approach is recommended if the patient needs a better appearance.
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