Nonoperational treatments for Morton's neuroma remain controversial because it is believed that sclerosing injections do not change nerve fibers on a cellular level. Up to 80% success rates with 4% ethanol sclerosing have been documented, and the remainder required operational removal of the painful nerve. We sought to evaluate the histologic characteristics of Morton's neuromas treated with 4% ethanol sclerosing injection versus corticosteroid injection alone in patients who required removal of the nerve for pain relief.
A retrospective histologic review was performed of 23 consecutive patients who were treated with either sclerosing injection or nonsclerosing injection and underwent nerve removal between September 1, 2012, and February 28, 2015.
Of 19 patients who met the inclusion criteria, eight received sclerosing injections and 11 received nonsclerosing injections. Intraneural fibrosis was more severe in the nonsclerosing injection group (P = .008).
Histologic changes are seen in Morton's neuroma with the use of 4% ethanol sclerosing injection, contrary to findings from previous studies.
Background: Article citations are a well-accepted method of evaluating the influence or impact of a particular article. Other medical specialties have published the top cited articles in their specialty. To date, an analysis of the foot and ankle podiatric medicine–related article citation method has not been published.
Methods: Three citation indices were used on October 10, 2014, February 20, 2015, and May 1, 2015, to determine the top 100 cited foot and ankle–related articles.
Results: Most of the top 100 cited foot and ankle podiatric medicine–related articles were published in The Journal of Bone and Joint Surgery by medical doctors in the United States in the past two decades, with most of the article topics being the diabetic foot or trauma. The predominant level of evidence for the articles is evenly distributed among levels III, IV, and V.
Conclusions: Podiatric medical research and publication has made great strides during the past two decades, particularly in the diabetic foot, but continued research and peer-reviewed journal publication in additional areas regarding the foot and ankle must become a priority in the podiatric medical community.