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European Radiology

, Volume 14, Issue 3, pp 514–518 | Cite as

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

  • Ezio FanucciEmail author
  • Salvatore Masala
  • Sebastiano Fabiano
  • Dario Perugia
  • Ettore Squillaci
  • Viviana Varrucciu
  • Giovanni Simonetti
Musculoskeletal

Abstract

Morton’s 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.

Keywords

Foot Alcohol Morton’s neuroma US Peripheral neuropathies 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Ezio Fanucci
    • 1
    Email author
  • Salvatore Masala
    • 1
  • Sebastiano Fabiano
    • 1
  • Dario Perugia
    • 2
  • Ettore Squillaci
    • 1
  • Viviana Varrucciu
    • 1
  • Giovanni Simonetti
    • 1
  1. 1.Department of Diagnostic Imaging and Interventional RadiologyUniversity of Rome “Tor Vergata”RomeItaly
  2. 2.Department of Orthopaedic SurgeryUniversity of Rome “Tor Vergata”RomeItaly

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