* Media Gallery * ReferencesOverview OverviewBackgroundMany early reports described inflammation in and around the appendix, but it was not until 1886 that Reginald Fitz provided an accurate description of the disease process. Fitz was the first to elucidate the clinical history, physical findings, and pathology and was also the first to advocate appendectomy as the cure.In 1887, ThomasMorton performed the first successful appendectomy in the United States. In 1889, Nicholas Senn was one of the first surgeons to diagnose acute appendicitis correctly, perform an appendectomy, have the patient recover, and report the case. In this same year, Charles McBurney described the clinical findings of acute appendicitis, including the point of maximal tenderness, which still bears his name.IndicationsAppendectomy
* Media Gallery * ReferencesOverview OverviewBackgroundMany early reports described inflammation in and around the appendix, but it was not until 1886 that Reginald Fitz provided an accurate description of the disease process. Fitz was the first to elucidate the clinical history, physical findings, and pathology and was also the first to advocate appendectomy as the cure.In 1887, ThomasMorton performed the first successful appendectomy in the United States. In 1889, Nicholas Senn was one of the first surgeons to diagnose acute appendicitis correctly, perform an appendectomy, have the patient recover, and report the case. In this same year, Charles McBurney described the clinical findings of acute appendicitis, including the point of maximal tenderness, which still bears his name.IndicationsAppendectomy
* Media Gallery * ReferencesOverview OverviewBackgroundMany early reports described inflammation in and around the appendix, but it was not until 1886 that Reginald Fitz provided an accurate description of the disease process. Fitz was the first to elucidate the clinical history, physical findings, and pathology and was also the first to advocate appendectomy as the cure.In 1887, ThomasMorton performed the first successful appendectomy in the United States. In 1889, Nicholas Senn was one of the first surgeons to diagnose acute appendicitis correctly, perform an appendectomy, have the patient recover, and report the case. In this same year, Charles McBurney described the clinical findings of acute appendicitis, including the point of maximal tenderness, which still bears his name.IndicationsAppendectomy
. The dorsal approach is recommended because of fewer potential complications and because it allows early weight bearing. Patients should be counseled preoperatively that varying degrees of postoperative numbness are commonly associated with resection of a Morton neuroma. Other surgical options include isolated intermetatarsal ligament release.Most surgeons in the United States perform a primary surgical lesser metatarsal head, and wound drainage have been reported. Consequently, most surgeons reserve this approach for revision cases. In a study of 57 plantar procedures done via a plantar incision, 23% of subjects had indurated plantar keratosis after surgery, and only 7% had poor results. [63] Potential complications of interdigital nerve excision, including development of a stump neuroma and digital
* Postoperative Care * Complications * Long-Term Monitoring * Show All * Media Gallery * ReferencesOverview Practice EssentialsMorton neuroma, also referred to as interdigital neuroma or interdigital neuritis, is a common condition that involves enlargement of the interdigital nerve of the foot. [1] (See the image below.) It derives its common name from ThomasMorton, who, in 1876, first tissue. * * Surgery for Morton neuroma. Distal plantar transverse incision. * * Surgery for Morton neuroma. Plantar longitudinal incision. of 9 TablesBack to List Contributor Information and Disclosures Author Lyle T Jackson, MDOrthopedic Surgeon, Foot and Ankle Surgery, Slocum Center for Orthopedics and Sports MedicineLyle T Jackson, MD is a member of the following medical societies: American
when the surgeon passes a suture around the nerve and incorporates it into the fascial repair, or from postoperative entrapment in scar tissue or neuroma formation.Sports injuries, such as trauma or muscle tears of the lower abdominal muscles, may also result in injury to the nerve. Injury may also occur during pregnancy, owing to the rapidly expanding abdomen in the third trimester. This is called
when the surgeon passes a suture around the nerve and incorporates it into the fascial repair, or from postoperative entrapment in scar tissue or neuroma formation.Sports injuries, such as trauma or muscle tears of the lower abdominal muscles, may also result in injury to the nerve. Injury may also occur during pregnancy, owing to the rapidly expanding abdomen in the third trimester. This is called
* Postoperative Care * Complications * Long-Term Monitoring * Show All * Media Gallery * ReferencesOverview Practice EssentialsMorton neuroma, also referred to as interdigital neuroma or interdigital neuritis, is a common condition that involves enlargement of the interdigital nerve of the foot. [1] (See the image below.) It derives its common name from ThomasMorton, who, in 1876, first tissue. * * Surgery for Morton neuroma. Distal plantar transverse incision. * * Surgery for Morton neuroma. Plantar longitudinal incision. of 9 TablesBack to List Contributor Information and Disclosures Author Lyle T Jackson, MDOrthopedic Surgeon, Foot and Ankle Surgery, Slocum Center for Orthopedics and Sports MedicineLyle T Jackson, MD is a member of the following medical societies: American
* Media Gallery * ReferencesOverview OverviewBackgroundMany early reports described inflammation in and around the appendix, but it was not until 1886 that Reginald Fitz provided an accurate description of the disease process. Fitz was the first to elucidate the clinical history, physical findings, and pathology and was also the first to advocate appendectomy as the cure.In 1887, ThomasMorton performed the first successful appendectomy in the United States. In 1889, Nicholas Senn was one of the first surgeons to diagnose acute appendicitis correctly, perform an appendectomy, have the patient recover, and report the case. In this same year, Charles McBurney described the clinical findings of acute appendicitis, including the point of maximal tenderness, which still bears his name.IndicationsAppendectomy
. The dorsal approach is recommended because of fewer potential complications and because it allows early weight bearing. Patients should be counseled preoperatively that varying degrees of postoperative numbness are commonly associated with resection of a Morton neuroma. Other surgical options include isolated intermetatarsal ligament release.Most surgeons in the United States perform a primary surgical lesser metatarsal head, and wound drainage have been reported. Consequently, most surgeons reserve this approach for revision cases. In a study of 57 plantar procedures done via a plantar incision, 23% of subjects had indurated plantar keratosis after surgery, and only 7% had poor results. [63] Potential complications of interdigital nerve excision, including development of a stump neuroma and digital
* ReferencesPractice EssentialsMorton neuroma, or interdigital neuroma, is a common condition that involves enlargement of the interdigital nerve of the foot. Morton neuroma most commonly affects the third intermetatarsal space, but it can also affect the second intermetatarsal space, although it does so less often. Lesions in the fourth and first interspaces are unusual. The name is derived from ThomasMorton, who & Perspective * American College of Foot and Ankle Surgeons Issues Forefoot Disorders Practice Guideline * Treatment of Morton's Neuroma with Alcohol Injection Under Sonographic Guidance: Follow-Up of 101 Cases * Remission of Severe Restless Legs Syndrome and Periodic Limb Movements in Sleep after Bilateral Excision of Multiple Foot Neuromas: A Case Report Tools * Drug Interaction Checker * Pill