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Sonography of Morton Neuromas: What Are We Really Looking At?
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Sonography of Morton Neuromas: What Are We Really Looking At?

Cohen. 

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine 

Volume: 35 Issue 10 (2016) ISSN: 0278-4297 Online ISSN: 1550-9613

 


Objectives

Morton neuroma´Â ¹ß°¡¶ô ÅëÁõÀÇ ¾à 33%Á¤µµ º¸°íµÇ´Â ÈçÇÑ ÁúȯÀ¸·Î ÃÊÀ½Æĸ¦ ÅëÇÏ¿© Áø´ÜÀÌ °¡´ÉÇÏ´Ù. ÇÏÁö¸¸ ¼ö¼ú Àü ÃÊÀ½ÆÄ¿¡¼­ º¸ÀÌ´Â Morton neuromaÀÇ ¸ð¾ç ¹× Å©±â¿Í ½ÇÁ¦ ¼ö¼úÀå¿¡¼­ È®ÀÎµÈ ¸ð¾ç ¹× Å©±â°¡ ¼­·Î ¸ÂÁö ¾Ê´Â´Ù´Â º¸°í¿¡ ´ëÇÑ ±¸Ã¼ÀûÀÎ ¿øÀο¡ ´ëÇÏ¿© ¾Ë¾Æº¸°íÀÚ ÇÑ´Ù.

 

Methods

¼ö¼ú Àü 10°³ÀÇ Morton neuroma¸¦ ÃÊÀ½ÆÄ·Î ÃøÁ¤ÇÏ°í, ¼ö¼ú ÈÄ ¾òÀº °Ëü¸¦ ÃÊÀ½ÆÄ Á©¿¡ ´ã¾Æ ´Ù½Ã ÃøÁ¤ÇÏ¿´°í Á¶Á÷ÇÐÀû °üÂûÀ» ÇÔ²² ÇÏ¿´´Ù.

 

Results

¼ö¼ú Àü ÃÊÀ½ÆÄ °Ë»ç¿¡¼­ ÃøÁ¤µÈ Morton neuromaÀÇ ¸ð¾çÀº fibrillar echogenic nerve coursing into a heterogeneous hypoechoic mass·Î Æò±Õ Å©±â´Â 14.3mm (range, 9.0–24.0 mm)¿´°í ÁÖº¯¿¡ mildly echogenic mass Æò±Õ 7.6mm (range, 4.5–12.0 mm)¿´´Ù.

°ËüÀÇ º´¸®¼Ò°ßÀº ½Å°æÀ» ÁÖº¯À¸·Î scarred inter-metatarsal bursas¿Í tangled vesselsÀÌ µ¿¹ÝµÇ¾ú°í, neuromaÀÇ ½ÇÁ¦ Å©±â´Â Æò±Õ 6.8 mm (range, 3.5–11.0 mm)·Î ¼ö¼ú Àü ÃÊÀ½ÆÄ·Î ÃøÁ¤ÇÑ Å©±âº¸´Ù Åë°èÇÐÀûÀ¸·Î À¯ÀÇÇÏ°Ô ÀÛ¾Ò´Ù. ÇÏÁö¸¸ hypoechoic massÀÇ Å©±â¸¸À» µû·Î ÃøÁ¤ÇÏ¿´À» ¶§´Â ±× Å©±âÀÇ Â÷ÀÌ´Â º¸ÀÌÁö ¾Ê¾Ò´Ù.

 

Conclusions

Morton neuromaÀÇ Æ¯Â¡ÀûÀÎ ¼Ò°ßÀÎ hypoechoic heterogeneous massÀÇ ½ÇÁ¦´Â ¡°neuroma-bursal complex¡±·Î¼­ ½ÇÁ¦ neuromaº¸´Ù Á» ´õ Å©°Ô º¸ÀÌ°Ô µÈ´Ù.



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