{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:27:11Z","timestamp":1781000831177,"version":"3.54.1"},"reference-count":36,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"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":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Morton\u2019s neuroma is a frequent cause of metatarsalgia. Operative treatment is indicated if nonoperative management has failed. The objective of the present study was to describe a technique of Morton\u2019s neuroma excision by a minimally invasive commissural approach and evaluate the long-term outcome and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study of 108 patients with Morton\u2019s neuroma treated surgically with a commissural approach between September 1990 and December 2010 was performed. The surgical technique is described. Clinical outcomes and complications were evaluated. The average follow-up was 121 months. Eleven patients were men and 97 women. The average age was 49.4 years; 56.8% neuromas were at the third space and 43.2% at the second space. Six patients presented 2 neuromas in the same foot, and 9 patients had bilateral neuroma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The visual analog scale (VAS) average pain score was 5.4 points preoperatively and 0.2 points at the final follow-up. The author found a significant difference between the VAS scores preoperatively and postoperatively ( P &lt; .01). Excellent and good satisfaction outcomes were achieved in 93.6%. The postoperative complication incidence was 3%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The author believes a minimally invasive commissural approach has advantages over a dorsal or plantar incision. It is a simple and reproducible technique, with satisfactory outcomes, low complication rates, and a quick return to usual activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100720936599","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T07:41:26Z","timestamp":1594971686000},"page":"1226-1233","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Interdigital Commissural Approach for Morton\u2019s Neuroma"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5739-3130","authenticated-orcid":false,"given":"Juan Manuel","family":"Ya\u00f1ez Arauz","sequence":"first","affiliation":[{"name":"Austral University Hospital, Pilar, Buenos Aires, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,16]]},"reference":[{"key":"bibr1-1071100720936599","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0136"},{"key":"bibr2-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713484300"},{"key":"bibr3-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1177\/107110079201300307"},{"key":"bibr4-1071100720936599","first-page":"532","volume":"33","author":"Barroco RS","year":"1998","journal-title":"Rev Bras Ortop"},{"key":"bibr5-1071100720936599","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.175.3.1750649"},{"key":"bibr6-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1177\/107110079601700505"},{"key":"bibr7-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1177\/107110078800900107"},{"key":"bibr8-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.62B2.7364832"},{"key":"bibr9-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B10.37610"},{"key":"bibr10-1071100720936599","first-page":"4","author":"Civinini F","year":"1835","journal-title":"Mem Chir Archiespedale Pistoia"},{"key":"bibr11-1071100720936599","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200109000-00005"},{"key":"bibr12-1071100720936599","volume-title":"Treatise on Corns, Bunions, the Diseases of Nails and the General Management of the Feet","author":"Durlacher L.","year":"1845"},{"key":"bibr13-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10091531"},{"key":"bibr14-1071100720936599","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19910601-07"},{"key":"bibr15-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500208"},{"key":"bibr16-1071100720936599","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.66B4.6746697"},{"issue":"4","key":"bibr17-1071100720936599","first-page":"471","volume":"16","author":"Habashy A","year":"2016","journal-title":"Ochsner J"},{"key":"bibr18-1071100720936599","first-page":"142","volume":"81","author":"Jarde O","year":"1995","journal-title":"Rev. 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