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10.11138/mltj/2015.5.4.280 http://scihub22266oqcxt.onion/10.11138/mltj/2015.5.4.280 C4762639!4762639 !26958536     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26958536 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Muscles+Ligaments+Tendons+J 2015 ; 5 (4 ): 280-3 Nephropedia Template TP {{tp|p=26958536 |t=2015. Percutaneous needling of Morton s complex: a technical note |pdf=|usr=}}{{26958536 }} gab.com Text Percutaneous needling of Morton s complex: a technical note JO: Muscles Ligaments Tendons J http://www.kidney.de/pget.php?&tw=1&pmid=26958536 #FOAvip BACKGROUND: the Morton's complex, i.e. fibrotic mass enfolding the medial plantar nerve, the bursa and the interdigital transverse ligament in the web space, is a common cause of pain and functional disability. Conservative and operative treatments are investigated but currently the best approach to treat the Morton's complex is unknown. METHODS: we describe a non-invasive, straight forward intervention consisting on multiple percutaneous punctures, shearing the fibrotic tissue in lateromedial and anteroposterior directions. The goal is to break up fibrosis occupying the intermetatarsal space thus releasing the affected nerve from the adjacent structures, there by stimulating tissue remodelling. RESULTS: slow tissue remodelling occurs following sequential fibrosis cleavage through multiple needling. Needling of the intermetatarsal fibrosis is performed every eight weeks until pain resolution. Echographic changes are associated to pain reduction as measured by Visual Analogue Score (VAS). CONCLUSION: we present an original idea that may improve Morton's management. Upcoming prospective clinical studies have to demonstrate the symptomatic benefits and the usefulness of this novel echographic intervention. Twit Text FOAVip Percutaneous needling of Morton s complex: a technical note ????Muscles Ligaments Tendons J http://www.kidney.de/pget.php?&tw=1&pmid=26958536 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26958536 #FOAvip English Wikipedia <ref>{{Cite pmid|26958536 }}</ref> Percutaneous needling of Morton s complex: a technical note #MMPMID26958536 Atilano L ; Martin JI ; Iglesias G ; Andia I Muscles Ligaments Tendons J 2015[Oct]; 5 (4 ): 280-3 PMID26958536 show ga BACKGROUND: the Morton's complex, i.e. fibrotic mass enfolding the medial plantar nerve, the bursa and the interdigital transverse ligament in the web space, is a common cause of pain and functional disability. Conservative and operative treatments are investigated but currently the best approach to treat the Morton's complex is unknown. METHODS: we describe a non-invasive, straight forward intervention consisting on multiple percutaneous punctures, shearing the fibrotic tissue in lateromedial and anteroposterior directions. The goal is to break up fibrosis occupying the intermetatarsal space thus releasing the affected nerve from the adjacent structures, there by stimulating tissue remodelling. RESULTS: slow tissue remodelling occurs following sequential fibrosis cleavage through multiple needling. Needling of the intermetatarsal fibrosis is performed every eight weeks until pain resolution. Echographic changes are associated to pain reduction as measured by Visual Analogue Score (VAS). CONCLUSION: we present an original idea that may improve Morton's management. Upcoming prospective clinical studies have to demonstrate the symptomatic benefits and the usefulness of this novel echographic intervention. äPercutaneous needling of Morton s complex: a technical note (epmc).pdf DeepDyve Pubget Overpricing