Medium-Term Results of Corticosteroid Injections for Morton's Neuroma.
Morton’s neuroma
corticosteroid injection
medium-term outcome
outcome
Journal
Foot & ankle international
ISSN: 1944-7876
Titre abrégé: Foot Ankle Int
Pays: United States
ID NLM: 9433869
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
pubmed:
28
10
2020
medline:
26
10
2021
entrez:
27
10
2020
Statut:
ppublish
Résumé
The objective of this study was to evaluate the medium-term results of corticosteroid injections for Morton's neuroma. This was a prospective follow-up study of a previous randomized controlled trial (RCT). Forty-five neuromas in 36 patients were injected with a single corticosteroid injection either with or without ultrasound guidance. As the results of the RCT showed no difference in outcomes between techniques, the data were pooled for the purpose of this study. Questionnaires were sent out and responses were collected via mail or telephone interview. Results were available in 42 out of 45 neuromas. There was a sex split of 68% female/32% male with a mean age of 62.6 years (SD, 12 years). At mean follow-up of 4.8 years (SD, 0.91 years), the original corticosteroid injection remained effective in 36% ( Corticosteroid injections for Morton's neuroma remained effective in over a third of cases for up to almost 5 years. A positive outcome at 1 year following a corticosteroid injection was reasonably predictive of a prolonged effect from the injection. Level II, prospective comparative study.
Sections du résumé
BACKGROUND
BACKGROUND
The objective of this study was to evaluate the medium-term results of corticosteroid injections for Morton's neuroma.
METHODS
METHODS
This was a prospective follow-up study of a previous randomized controlled trial (RCT). Forty-five neuromas in 36 patients were injected with a single corticosteroid injection either with or without ultrasound guidance. As the results of the RCT showed no difference in outcomes between techniques, the data were pooled for the purpose of this study. Questionnaires were sent out and responses were collected via mail or telephone interview. Results were available in 42 out of 45 neuromas. There was a sex split of 68% female/32% male with a mean age of 62.6 years (SD, 12 years).
RESULTS
RESULTS
At mean follow-up of 4.8 years (SD, 0.91 years), the original corticosteroid injection remained effective in 36% (
CONCLUSION
CONCLUSIONS
Corticosteroid injections for Morton's neuroma remained effective in over a third of cases for up to almost 5 years. A positive outcome at 1 year following a corticosteroid injection was reasonably predictive of a prolonged effect from the injection.
LEVEL OF EVIDENCE
METHODS
Level II, prospective comparative study.
Identifiants
pubmed: 33106028
doi: 10.1177/1071100720966332
doi:
Substances chimiques
Adrenal Cortex Hormones
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM