High-resolution ultrasound and MRI in the evaluation of the forefoot and midfoot.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

Conflict of interest statement: Conflict of interest The authors do not report any financial or personal connections with other persons or organizations which might negatively affect the contents of this publication and/or claim authorship rights to this publication. 18. J Foot Ankle Res. 2023 Sep 7;16(1):57. doi: 10.1186/s13047-023-00660-w. Effect of surgical approach on the treatment of Morton's neuroma: a systematic review and meta-analysis. Zhang J(#)(1), Li J(#)(1), Cai W(1), Zheng K(1), Huang X(1), Rong X(1), Li Q(2). Author information: (1)Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China. (2)Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China. liqi_sports@scu.edu.cn. (#)Contributed equally BACKGROUND: Surgical resection of Morton's neuroma includes dorsal and plantar approaches. However, there is no consensus on the choice of approach in clinic. The purpose of this study was to conduct a systematic review and meta-analysis to compare the surgical results of dorsal and plantar approaches. METHODS: The literatures of PubMed, Cochrane library, Embase and Web of Science were searched on April 26th, 2023. A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The data were extracted after screening the literature and evaluating the quality of the methodology included in the study. The RevMan5.4 software was used to analyze and calculate the OR value and 95% confidence interval. RESULTS: A total of 7 randomized controlled trials and comparative studies were published, of which only 5 were included. There were 158 feet via plantar approach (plantar group, PG) and 189 via dorsal approach (dorsal group, DG). There was no significant difference between PG and DG in overall adverse events, sensory problems, incision infection and deep vein thrombosis (p > 0.05). In terms of scar problems, PG showed more than DG (OR, 2.90[95%CI, 1.40 to 5.98]; p = 0.004). Other outcome indicators such as visual analogue scale (VAS) scores and American Orthopedic Foot and Ankle Society (AOFAS) scores were difficult to be included in the comparison. CONCLUSIONS: Based on the relatively low quality and small amount of available evidence, the meta-analysis conducted produces a hypothesis that the frequency of adverse events in surgical treatment of Morton's neuroma, dorsal approach and plantar approach may be the same, but the types are different. More high-level evidence is needed to further verify this hypothesis. © 2023. The College of Podiatry and the Australasian Podiatry Council. DOI: 10.1186/s13047-023-00660-w PMCID: PMC10483740