Morton's neuroma MRI: Difference between revisions
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{{Morton's neuroma}} | {{Morton's neuroma}} | ||
{{CMG}} | {{CMG}} {{AE}}{{S.M.}}{{Faizan}} | ||
==Overview== | ==Overview== | ||
[[Magnetic resonance imaging|MRI]] can successfully [[diagnose]] and [[Assessment and Plan|assess]] the [[Location parameter|location]], [[Size consistency|size]], and [[soft tissue]] [[abnormalities]] [[Association (statistics)|associated]] with [[Morton's neuroma]]. As there's a 26% chance of [[morton's neuroma]] [[Recurrence plot|recurrence]] [[after surgery]], hence, [[Post-operative complications|post-operative]] [[Magnetic resonance imaging|MR imaging]] can [[Help Menu|help]] rule out any [[Recurrence plot|recurrence]]. [[Morton's neuroma]]-like [[abnormalities]] are seen in [[asymptomatic]] and [[symptomatic]] [[intermetatarsal]] spaces on [[MRI]] after the [[resection]] of [[morton's neuroma]]. There's a [[Significant figure|significant]] [[Difference (philosophy)|difference]] in the [[appearance]] of [[morton's neuroma]] on [[Magnetic resonance imaging|MRI]] done in different [[Position effect|positions]] such as [[Prone position|prone]], [[supine]], or [[weight]]-bearing, with the [[morton's neuroma]] being best [[Visible spectrum|visible]] in the [[prone position]]. | |||
==MRI== | ==MRI== | ||
* [[Magnetic resonance imaging|MRI]] can successfully [[diagnose]] and [[Assessment and Plan|assess]] the following [[Association (statistics)|associated]] with [[Morton's neuroma]]:<ref name="pmid9016241">{{cite journal| author=Zanetti M, Ledermann T, Zollinger H, Hodler J| title=Efficacy of MR imaging in patients suspected of having Morton's neuroma. | journal=AJR Am J Roentgenol | year= 1997 | volume= 168 | issue= 2 | pages= 529-32 | pmid=9016241 | doi=10.2214/ajr.168.2.9016241 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9016241 }} </ref><ref name="pmid9022580">{{cite journal| author=Williams JW, Meaney J, Whitehouse GH, Klenerman L, Hussein Z| title=MRI in the investigation of Morton's neuroma: which sequences? | journal=Clin Radiol | year= 1997 | volume= 52 | issue= 1 | pages= 46-9 | pmid=9022580 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9022580 }} </ref><ref name="pmid1619223">{{cite journal| author=Unger HR, Mattoso PQ, Drusen MJ, Neumann CH| title=Gadopentetate-enhanced magnetic resonance imaging with fat saturation in the evaluation of Morton's neuroma. | journal=J Foot Surg | year= 1992 | volume= 31 | issue= 3 | pages= 244-6 | pmid=1619223 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1619223 }} </ref><ref name="pmid8372200">{{cite journal| author=Terk MR, Kwong PK, Suthar M, Horvath BC, Colletti PM| title=Morton neuroma: evaluation with MR imaging performed with contrast enhancement and fat suppression. | journal=Radiology | year= 1993 | volume= 189 | issue= 1 | pages= 239-41 | pmid=8372200 | doi=10.1148/radiology.189.1.8372200 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8372200 }} </ref><ref name="pmid10551246">{{cite journal| author=Zanetti M, Strehle JK, Kundert HP, Zollinger H, Hodler J| title=Morton neuroma: effect of MR imaging findings on diagnostic thinking and therapeutic decisions. | journal=Radiology | year= 1999 | volume= 213 | issue= 2 | pages= 583-8 | pmid=10551246 | doi=10.1148/radiology.213.2.r99nv06583 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10551246 }} </ref><ref name="pmid16247719">{{cite journal| author=Zanetti M, Weishaupt D| title=MR imaging of the forefoot: Morton neuroma and differential diagnoses. | journal=Semin Musculoskelet Radiol | year= 2005 | volume= 9 | issue= 3 | pages= 175-86 | pmid=16247719 | doi=10.1055/s-2005-921938 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16247719 }} </ref> | |||
** [[Soft tissue]] [[abnormalities]] | |||
** [[Location parameter|Location]] | |||
** [[Size consistency|Size]] | |||
* As there's a 26% chance of [[morton's neuroma]] [[Recurrence plot|recurrence]] [[after surgery]], hence, [[Post-operative complications|post-operative]] [[Magnetic resonance imaging|MR imaging]] can [[Help Menu|help]] rule out any [[Recurrence plot|recurrence]]<ref name="pmid20539960">{{cite journal| author=Zanetti M, Saupe N, Espinosa N| title=Postoperative MR imaging of the foot and ankle: tendon repair, ligament repair, and Morton's neuroma resection. | journal=Semin Musculoskelet Radiol | year= 2010 | volume= 14 | issue= 3 | pages= 357-64 | pmid=20539960 | doi=10.1055/s-0030-1254524 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20539960 }} </ref> | |||
* [[Morton's neuroma]]-like [[abnormalities]] are seen in [[asymptomatic]] and [[symptomatic]] [[intermetatarsal]] spaces on [[MRI]] after the [[resection]] of [[morton's neuroma]]<ref name="pmid20501722">{{cite journal| author=Espinosa N, Schmitt JW, Saupe N, Maquieira GJ, Bode B, Vienne P et al.| title=Morton neuroma: MR imaging after resection--postoperative MR and histologic findings in asymptomatic and symptomatic intermetatarsal spaces. | journal=Radiology | year= 2010 | volume= 255 | issue= 3 | pages= 850-6 | pmid=20501722 | doi=10.1148/radiol.10091531 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20501722 }} </ref> | |||
* There's a [[Significant figure|significant]] [[Difference (philosophy)|difference]] in the [[appearance]] of [[morton's neuroma]] on [[Magnetic resonance imaging|MRI]] done in different [[Position effect|positions]] such as [[Prone position|prone]], [[supine]], or [[weight]]-bearing, with the [[morton's neuroma]] being best [[Visible spectrum|visible]] in the [[prone position]]<ref name="pmid12601213">{{cite journal| author=Weishaupt D, Treiber K, Kundert HP, Zollinger H, Vienne P, Hodler J et al.| title=Morton neuroma: MR imaging in prone, supine, and upright weight-bearing body positions. | journal=Radiology | year= 2003 | volume= 226 | issue= 3 | pages= 849-56 | pmid=12601213 | doi=10.1148/radiol.2263011925 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12601213 }} </ref> | |||
==References== | ==References== | ||
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Latest revision as of 21:05, 17 June 2019
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American Roentgen Ray Society Images of Morton's neuroma MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Faizan Sheraz, M.D. [3]
Overview
MRI can successfully diagnose and assess the location, size, and soft tissue abnormalities associated with Morton's neuroma. As there's a 26% chance of morton's neuroma recurrence after surgery, hence, post-operative MR imaging can help rule out any recurrence. Morton's neuroma-like abnormalities are seen in asymptomatic and symptomatic intermetatarsal spaces on MRI after the resection of morton's neuroma. There's a significant difference in the appearance of morton's neuroma on MRI done in different positions such as prone, supine, or weight-bearing, with the morton's neuroma being best visible in the prone position.
MRI
- MRI can successfully diagnose and assess the following associated with Morton's neuroma:[1][2][3][4][5][6]
- As there's a 26% chance of morton's neuroma recurrence after surgery, hence, post-operative MR imaging can help rule out any recurrence[7]
- Morton's neuroma-like abnormalities are seen in asymptomatic and symptomatic intermetatarsal spaces on MRI after the resection of morton's neuroma[8]
- There's a significant difference in the appearance of morton's neuroma on MRI done in different positions such as prone, supine, or weight-bearing, with the morton's neuroma being best visible in the prone position[9]
References
- ↑ Zanetti M, Ledermann T, Zollinger H, Hodler J (1997). "Efficacy of MR imaging in patients suspected of having Morton's neuroma". AJR Am J Roentgenol. 168 (2): 529–32. doi:10.2214/ajr.168.2.9016241. PMID 9016241.
- ↑ Williams JW, Meaney J, Whitehouse GH, Klenerman L, Hussein Z (1997). "MRI in the investigation of Morton's neuroma: which sequences?". Clin Radiol. 52 (1): 46–9. PMID 9022580.
- ↑ Unger HR, Mattoso PQ, Drusen MJ, Neumann CH (1992). "Gadopentetate-enhanced magnetic resonance imaging with fat saturation in the evaluation of Morton's neuroma". J Foot Surg. 31 (3): 244–6. PMID 1619223.
- ↑ Terk MR, Kwong PK, Suthar M, Horvath BC, Colletti PM (1993). "Morton neuroma: evaluation with MR imaging performed with contrast enhancement and fat suppression". Radiology. 189 (1): 239–41. doi:10.1148/radiology.189.1.8372200. PMID 8372200.
- ↑ Zanetti M, Strehle JK, Kundert HP, Zollinger H, Hodler J (1999). "Morton neuroma: effect of MR imaging findings on diagnostic thinking and therapeutic decisions". Radiology. 213 (2): 583–8. doi:10.1148/radiology.213.2.r99nv06583. PMID 10551246.
- ↑ Zanetti M, Weishaupt D (2005). "MR imaging of the forefoot: Morton neuroma and differential diagnoses". Semin Musculoskelet Radiol. 9 (3): 175–86. doi:10.1055/s-2005-921938. PMID 16247719.
- ↑ Zanetti M, Saupe N, Espinosa N (2010). "Postoperative MR imaging of the foot and ankle: tendon repair, ligament repair, and Morton's neuroma resection". Semin Musculoskelet Radiol. 14 (3): 357–64. doi:10.1055/s-0030-1254524. PMID 20539960.
- ↑ Espinosa N, Schmitt JW, Saupe N, Maquieira GJ, Bode B, Vienne P; et al. (2010). "Morton neuroma: MR imaging after resection--postoperative MR and histologic findings in asymptomatic and symptomatic intermetatarsal spaces". Radiology. 255 (3): 850–6. doi:10.1148/radiol.10091531. PMID 20501722.
- ↑ Weishaupt D, Treiber K, Kundert HP, Zollinger H, Vienne P, Hodler J; et al. (2003). "Morton neuroma: MR imaging in prone, supine, and upright weight-bearing body positions". Radiology. 226 (3): 849–56. doi:10.1148/radiol.2263011925. PMID 12601213.