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Morton Neuroma: Primary and Secondary Neurectomy

Morton neuroma is commonly treated nonsurgically with shoe wear modification, stretching, anti-inflammatory drugs, and sometimes cortisone injections. Surgical treatment, when reserved for select patients with a clear diagnosis, has been reported to be successful in 51% to 85% of patients. Surgical treatment aims to decompress the entrapped interdigital nerve by transecting the intermetatarsal ligament, releasing or resecting the interdigital nerve, and/or releasing any nerve branches causing tethering, thereby allowing the nerve to move more proximally away from the weight-bearing portion of the forefoot. The authors present indications and contraindications for surgical intervention, step-by-step surgical techniques, potential complications, as well as pearls and pitfalls.

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Perspectives on Modern Orthopaedics

[Perspectives on Modern Orthopaedics articles provide an objective appraisal of new or controversial techniques or areas of investigation in orthopaedic surgery.]
Neuromuscular Control of Trunk Stability: Clinical Implications for Sports Injury Prevention
Impaired trunk control may be a contributing factor to sports injuries of the spine as well as to segments of the kinetic chain. The authors discuss the biomechanics of trunk stability and its dynamic relationship to lower extremity function in the athlete, and present training techniques to help prevent related injury. To read the full article, click here

Find these clinical topics in your current issue of JAAOS!

Posterolateral Corner Injury of the Knee

Design Features of Current Total AnkleReplacements

Management of Radiation-associated Fractures

Coronoid Process Fracture

 


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