Endocsopic Decompression of Intermetatarsal Nerve (EDIN) for the Treatment of Morton’s Entrapment— Multicenter Retrospective Review

Stephen L. Barrett, Eduard Rabat, Maria Buitrago, Vincent P. Rascon, P. David Applegate

College of Health Sciences, Midwestern University, Glendale, USA.
College of Health Sciences, Midwestern University, Glendale, USA..
Hospital Quiron, Barcelona, Spain.
Private Practice, Houston, USA.
Private Practice, Midland, USA.

DOI: 10.4236/ojo.2012.22004                

Abstract

Background: The authors present the results of a four surgeon, multicenter study of endoscopic decompression for the treatment of Civinini-Morton’s entrapment of 193 interspaces. Methods: A retrospective review of 193 interspaces, which were decompressed by four different surgeons. Results: The overall success rate was high, with 92% of patients reporting a good or fair outcome. Higher success rates were reported in the 3rd interspace decompression group (95%) compared to the 2nd interspace decompression group (85%). Complications reported were minimal, with only seven cases requiring a revision with traditional neurectomy. No revisions were required in the 3rd interspace decompression group. Five of the revisions were in the 2nd interspace decompression group, with the remaining two revisions in the combined 2nd/3rd interspace decompression group. Conclusions: Endoscopic decompression for the treatment of Civinnini-Morton’s entrapment is a safe and efficacious method of treatment of this nerve entrapment, with very low complication rates and rapid return to normal activity.

Keywords

Morton’s Neuroma; Morton’s Entrapment; Neuroma; Endoscopic Decompression

Conflicts of Interest

The authors declare no conflicts of interest.

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