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- Title
Treatment of intermetatarsal Morton's neuroma with alcohol injection under US guide: 10-month follow-up.
- Authors
Fanucci, Ezio; Masala, Salvatore; Fabiano, Sebastiano; Perugia, Dario; Squillaci, Ettore; Varrucciu, Viviana; Simonetti, Giovanni
- Abstract
Morton's neuroma (MN) is a frequent cause of metatarsalgia. The aim of our study was to evaluate the efficacy of neuroma alcohol-sclerosing therapy (NAST) under US guide in MN after a 10-month follow-up. Forty intermetatarsal neuromas underwent alcohol-sclerosing therapy after sonographic evaluation of their dimensions and echotexture. After subcutaneous anesthesia, a sclerosing solution composed of anesthetic (carbocaine-adrenaline 70%) and ethylic alcohol (30%) was injected inside the mass under US guidance. The procedure was repeated at intervals of 15 days until the resolution of the symptoms. A total or partial symptomatic relief was obtained in 36 cases (90%). No procedure-related complications were observed. Transitory plantar pain, due to the flogistic reaction induced by the sclerosing solution, occurred in 6 cases (15%). The 10-month follow-up revealed a 20-30% mass volume reduction and an adiposus-like change in echotexture. In the 4 cases (10%) of therapeutic failure, the preliminary sonography demonstrated a hypoechoic echotexture with a strong US beam attenuation corresponding to a highly fibrous neuroma after surgical resection. The NAST is a feasible and cost-efficient procedure with high rates of therapeutic success.
- Subjects
NEUROMAS; NERVOUS system tumors; ANESTHESIA; SCLEROTHERAPY; RADIOLOGY; ETHANOL; FOOT diseases; INJECTIONS; LONGITUDINAL method; METATARSUS; TIME; ULTRASONIC imaging; THERAPEUTICS
- Publication
European Radiology, 2004, Vol 14, Issue 3, p514
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-003-2057-7