The diagnosis and management of Morton's neuroma: a literature review.

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Abstract

[Indexed for MEDLINE] 20. J Ultrasound. 2024 Mar;27(1):153-159. doi: 10.1007/s40477-023-00808-1. Epub 2023 Jul 30. Ultrasound guided injections in ankle and foot. Ruiz Santiago F(1)(2)(3)(4), Moraleda Cabrera B(5)(6), Láinez Ramos-Bossini AJ(5)(6). Author information: (1)Department of Radiology and Physical Medicine, Faculty of Medicine, University of Granada, 18071, Granada, Spain. ferusan12@gmail.com. (2)Musculoskeletal Radiology Unit, Hospital Universitario Virgen de Las Nieves, 18014, Granada, Spain. ferusan12@gmail.com. (3)Instituto de Investigación Biosanitaria ibs. Granada, 18012, Granada, Spain. ferusan12@gmail.com. (4), C-Julio Verne 8, 7 B, 18003, Granada, Spain. ferusan12@gmail.com. (5)Musculoskeletal Radiology Unit, Hospital Universitario Virgen de Las Nieves, 18014, Granada, Spain. (6)Instituto de Investigación Biosanitaria ibs. Granada, 18012, Granada, Spain. Ultrasound guidance is particularly useful for percutaneous injections in the diagnosis and management of painful conditions of the ankle and foot. The injectates used include steroids and local anesthetics, such as lidocaine, mepivacaine, bupivacaine, ropivacaine, and platelet-rich plasma. Osteoarthritis is the main indication for joint injections. Joints amenable to being injected include the tibiotalar, subtalar, midtarsal, and metatarsophalangeal joints. Tendon injections mainly involve the Achilles, peroneus, extensors, and tibialis tendons, while plantar fascia injections are useful for treating plantar fasciitis and plantar fibromatosis. Forefoot injections include joint arthritis, intermetatarsal bursitis, and Morton neuroma. The standardized approaches and doses reviewed in this paper are based on the authors' experience and can lead to high success in symptomatic relief for various conditions. These injections can be curative or serve as a guide to identify the source of pain when surgery or other therapeutic options are planned. © 2023. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB). DOI: 10.1007/s40477-023-00808-1 PMCID: PMC10908885