Mortons 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.

Treatment of intermetatarsal Morton's neuroma with alcohol injection under US guide: 10-month follow-up / Ezio, Fanucci; Salvatore, Masala; Sebastiano, Fabiano; Perugia, Dario; Ettore, Squillaci; Viviana, Varrucciu; Giovanni, Simonetti. - In: EUROPEAN RADIOLOGY. - ISSN 0938-7994. - STAMPA. - 14:3(2004), pp. 514-518. [10.1007/s00330-003-2057-7]

Treatment of intermetatarsal Morton's neuroma with alcohol injection under US guide: 10-month follow-up

PERUGIA, DARIO;
2004

Abstract

Mortons 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.
2004
administration /&/ dosage; adult; aged; alcohol; ethanol; female; follow-up studies; foot; foot diseases; humans; injections; intralesional; male; metatarsal bones; methods; middle aged; morton's neuroma; neuroma; peripheral neuropathies; sclerotherapy; therapy/ultrasonography; time factors; us
01 Pubblicazione su rivista::01a Articolo in rivista
Treatment of intermetatarsal Morton's neuroma with alcohol injection under US guide: 10-month follow-up / Ezio, Fanucci; Salvatore, Masala; Sebastiano, Fabiano; Perugia, Dario; Ettore, Squillaci; Viviana, Varrucciu; Giovanni, Simonetti. - In: EUROPEAN RADIOLOGY. - ISSN 0938-7994. - STAMPA. - 14:3(2004), pp. 514-518. [10.1007/s00330-003-2057-7]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/425224
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