모턴씨 신경종

국문 초록 (Abstract)

전족부 통증의 가장 흔한 원인 중 하나인 모턴씨 신경종은 다른 말로 지간 신경종이라고도 불린다. 지간 신경종은 족지의 지간 신경이 횡형 중족골 골간 인대를 지나면서 압박되어 나타나는 압박성 신경병증이고 진정한 종양은 아니다. 병리적 소견은 신경 주위 섬유화, 축삭 돌기의 변성 등이 보인다. 전족부 통증이 자주 보이는 증상이며 압박되는 신경 분지에 따라서 발가락으로의 방사통 등이 나타난다. 진단은 자세한 병력 청취 및 압박 검사 등의 신체 검사를 통해 진단할 수 있고 초음파 또는 자기공명영상촬영으로도 진단이 가능하다. 치료로는 보존적 방법을 우선적으로 권장하나 증상의 완화가 관찰되지 않을 때에는 수술적 절제 또는 감압을술 추천한다.

다국어 초록 (Multilingual Abstract)

Morton’s neuroma, also known as interdigital neuroma, is a common cause of forefoot pain. It is a compressive neuropathy of the interdigital nerve, which is compressed by the overlying transverse metatarsal ligament. It is not a true tumor. The symptoms are forefoot pain that radiates into the toes, according to the involved nerve branches. Its histological findings are fibrosis around the nerve, demyelination. The clinical diagnosis can be obtained from a detailed history and physical examination, such as the compressive test. Moreover, ultrasonography and magnetic resonance imaging can also be used. Conservative treatment is the common initial treatment modality for interdigital neuroma. Surgical excision or decompression is indicated after a failure of conservative treatments.

목차 (Table of Contents)

• 서론
• 해부학적 및 병리학적 소견과 병인
• 임상양상
• 진단
• 감별진단
• 치료
• 결론
• REFERENCES

참고문헌 (Reference)

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