Interdigital neuroma in a patient with macrodactyly of the hallux

A patient with macrodactyly of the hallux, returned 2 years after amputation of the distal phalanx, complaining of pain and swelling in the plantar foot. The Tinel, Moulder, and Gauthier signs were all present. Diagnostic hypotheses were: neuroma of the amputation stump, compressive neuroma, neurofi...

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Main Authors: Henrique Santos Barbosa da Silva, Luiz Carlos Ribeiro Lara, Lucio Carlos de Azevedo Torres Filho, Fabio Lemos Rodrigues, Juan Antonio Grajales, Lara Furtado Lancia
Format: Article
Language:English
Published: Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé 2020-08-01
Series:Journal of the Foot & Ankle
Subjects:
Online Access:https://jfootankle.com/JournalFootAnkle/article/view/1144
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author Henrique Santos Barbosa da Silva
Luiz Carlos Ribeiro Lara
Lucio Carlos de Azevedo Torres Filho
Fabio Lemos Rodrigues
Juan Antonio Grajales
Lara Furtado Lancia
author_facet Henrique Santos Barbosa da Silva
Luiz Carlos Ribeiro Lara
Lucio Carlos de Azevedo Torres Filho
Fabio Lemos Rodrigues
Juan Antonio Grajales
Lara Furtado Lancia
author_sort Henrique Santos Barbosa da Silva
collection DOAJ
description A patient with macrodactyly of the hallux, returned 2 years after amputation of the distal phalanx, complaining of pain and swelling in the plantar foot. The Tinel, Moulder, and Gauthier signs were all present. Diagnostic hypotheses were: neuroma of the amputation stump, compressive neuroma, neurofibroma, or schwannoma. Histopathological diagnosis demonstrated that the tumor was a neuroma. This is a rare and unique case associated with macrodactyly, in which nerves tend to be hypertrophic. The location in the first intermetatarsal space is uncommon. The treatment proposed was resection of the entire involved nerve; symptoms improved and there was no relapse. Level of Evidence V, Therapeutic Studies; Expert Opinion.
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spelling doaj.art-c03ad21054fa4ffb85ac5b6c54fdcc502022-12-21T20:41:10ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802020-08-0114210.30795/jfootankle.2020.v14.11441144Interdigital neuroma in a patient with macrodactyly of the halluxHenrique Santos Barbosa da Silva0Luiz Carlos Ribeiro Lara1Lucio Carlos de Azevedo Torres Filho2Fabio Lemos Rodrigues3Juan Antonio Grajales4Lara Furtado Lancia5Hospital Municipal Universitário de Taubaté, Taubaté, SP, BrazilHospital Municipal Universitário de Taubaté, Taubaté, SP, BrazilHospital Municipal Universitário de Taubaté, Taubaté, SP, BrazilHospital Municipal Universitário de Taubaté, Taubaté, SP, BrazilHospital Municipal Universitário de Taubaté, Taubaté, SP, BrazilHospital Municipal Universitário de Taubaté, Taubaté, SP, BrazilA patient with macrodactyly of the hallux, returned 2 years after amputation of the distal phalanx, complaining of pain and swelling in the plantar foot. The Tinel, Moulder, and Gauthier signs were all present. Diagnostic hypotheses were: neuroma of the amputation stump, compressive neuroma, neurofibroma, or schwannoma. Histopathological diagnosis demonstrated that the tumor was a neuroma. This is a rare and unique case associated with macrodactyly, in which nerves tend to be hypertrophic. The location in the first intermetatarsal space is uncommon. The treatment proposed was resection of the entire involved nerve; symptoms improved and there was no relapse. Level of Evidence V, Therapeutic Studies; Expert Opinion.https://jfootankle.com/JournalFootAnkle/article/view/1144NeuromaFoot deformities, congenitalOrthopedic surgeryNeurofibrosarcoma
spellingShingle Henrique Santos Barbosa da Silva
Luiz Carlos Ribeiro Lara
Lucio Carlos de Azevedo Torres Filho
Fabio Lemos Rodrigues
Juan Antonio Grajales
Lara Furtado Lancia
Interdigital neuroma in a patient with macrodactyly of the hallux
Journal of the Foot & Ankle
Neuroma
Foot deformities, congenital
Orthopedic surgery
Neurofibrosarcoma
title Interdigital neuroma in a patient with macrodactyly of the hallux
title_full Interdigital neuroma in a patient with macrodactyly of the hallux
title_fullStr Interdigital neuroma in a patient with macrodactyly of the hallux
title_full_unstemmed Interdigital neuroma in a patient with macrodactyly of the hallux
title_short Interdigital neuroma in a patient with macrodactyly of the hallux
title_sort interdigital neuroma in a patient with macrodactyly of the hallux
topic Neuroma
Foot deformities, congenital
Orthopedic surgery
Neurofibrosarcoma
url https://jfootankle.com/JournalFootAnkle/article/view/1144
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