MORTON’S NEUROMA

Introduction: In 1876 American surgeon Thomas George Morton first detailed compressive neuropathy of the interdigital nerve forefoot. Mortons occurs mostly. The condition is generated secondary to repeated pressure or irritation that leads thickening nerve, located in second third intermetatarsal space. It suggested use pointed heel shoes could be a triggering factor for development this pathology due increased on Objective: describe current information related neuroma etiology, epidemiology, presentation, diagnosis, management and treatment. Methodology: total 39 articles were analyzed review, including review original articles, as well clinical cases, which 29 bibliographies used because other not relevant study. sources PubMed, Google Scholar Cochrane; terms search Spanish, Portuguese English were: Morton, neuroma, neuritis, neuralgia, interdigital. Results: it more frequently present female sex, presenting female:male ratio 4:1 some 5:1 others. average age at time surgery 50 years old. 21% cases bilateral, 66% space, 2% fourth 32% second. A study showed diameter was 4.1 mm asymptomatic staff versus 5.3 symptomatic group. Conclusions: This certainly degenerative rather than neoplastic fibrosis digital nerve. diagnosis primarily clinical, where there may altered sensation dorsal bulge. Examinations, investigations non-surgical treatment are same those primary neuroma. orthoses footwear modifications indicated conservative For surgical treatment, plantar approaches used, each with their advantages disadvantages. incision should extended proximally observe residual limb, however sometimes exposure becomes difficult. approach provides better easily identified resected, presence painful scarring notable. Other complications occur atrophy, recurrence chronic pain. KEY WORDS: