{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:28:50Z","timestamp":1777613330291,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2013,1,22]],"date-time":"2013-01-22T00:00:00Z","timestamp":1358812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Injection for interdigital neuroma (IDN) may not selectively target the common digital nerve. We investigated the anatomical localization and extent of extravasation with injection for IDN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Two fellowship-trained foot and ankle surgeons injected radiopaque contrast into the third webspace of 49 cadaveric specimens (29 with 2 mL and 20 with 1 mL). Computed tomography scan of each specimen was obtained. An independent blinded foot and ankle surgeon analyzed the scans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All injections were accurate. Contrast was found in the second (greater than 70%) and fourth (greater than 30%) webspaces in both injection volume groups. No contrast was found within the third metatarsophalangeal joint. Extravasation extent was significantly greater with 2 mL versus 1 mL of solution in the medial to lateral (27.9 [7.8] mm vs 23.7 [6.0] mm; P = .05) and distal to proximal (52.1 [13.7] mm vs 40.4 [16.1] mm; P = .01) planes. No differences were observed in extravasation extent between surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Injection for IDN was accurate, and extravasation extended into adjacent webspaces in a large percentage of specimens with both solution volumes. Lower extent of extravasation with 1 mL of solution did not indicate better selectivity of injection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Steroid injections for interdigital neuroma were accurate for therapeutic purposes but not diagnostic, except potentially for distinguishing webspace pain from joint pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100712468873","type":"journal-article","created":{"date-parts":[[2013,1,23]],"date-time":"2013-01-23T02:30:21Z","timestamp":1358908221000},"page":"575-578","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Computed Tomography Analysis of Third Webspace Injections for Interdigital Neuroma"],"prefix":"10.1177","volume":"34","author":[{"given":"W. Chad","family":"Hembree","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam T.","family":"Groth","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lew C.","family":"Schon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory P.","family":"Guyton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,1,22]]},"reference":[{"key":"bibr1-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1177\/107110078800900107"},{"key":"bibr2-1071100712468873","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1940.tb46191.x"},{"key":"bibr3-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.62B2.7364832"},{"key":"bibr4-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-206"},{"key":"bibr5-1071100712468873","first-page":"90","volume":"142","author":"Gauthier G","year":"1979","journal-title":"Clin Orthop"},{"key":"bibr6-1071100712468873","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/00003086-198405000-00023","volume":"185","author":"Greenfield J","year":"1984","journal-title":"Clin Orthop"},{"key":"bibr7-1071100712468873","first-page":"256","volume":"141","author":"Ha\u2019Eri GB","year":"1979","journal-title":"Clin Orthop"},{"key":"bibr8-1071100712468873","first-page":"224","volume":"73","author":"Hassouna H","year":"2007","journal-title":"Acta Orthop Belg"},{"key":"bibr9-1071100712468873","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.1463"},{"key":"bibr10-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1177\/107110078300300411"},{"key":"bibr11-1071100712468873","doi-asserted-by":"publisher","DOI":"10.3113\/FAI-2008-0483"},{"key":"bibr12-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.30B1.84"},{"key":"bibr13-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199605000-00022"},{"key":"bibr14-1071100712468873","first-page":"185","author":"Reddy PD","year":"1995","journal-title":"Clin Orthop Relat Res"},{"key":"bibr15-1071100712468873","first-page":"277","volume":"17","author":"Rout R","year":"2009","journal-title":"Qual Prim Care"},{"key":"bibr16-1071100712468873","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600711"},{"key":"bibr17-1071100712468873","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199611000-00005"},{"key":"bibr18-1071100712468873","first-page":"127","volume":"41","author":"Younger AS","year":"1998","journal-title":"Can J Surg"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100712468873","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1071100712468873","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1071100712468873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:25:49Z","timestamp":1777411549000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1071100712468873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,22]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1177\/1071100712468873"],"URL":"https:\/\/doi.org\/10.1177\/1071100712468873","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,22]]}}}