Morton Neuroma Clinical Trial
Official title:
Comparison Between Blind and Ultrasound Guided Injection in Morton Neuroma
The aim of this work trial is to compare the effectiveness of blind and ultrasound guided injection for Morton neuroma in order to determine which is more appropriate as the initial procedure in conservative treatment
This is a evaluator-blinded randomized trial. The final sample size has been calculated to be
100 patients. 50 of group 1 are going to be injected by an experimented orthopaedic surgeon
based on anatomic landmark. 50 of group 2 are going to be injected by an experimented
musculoskeletal radiologist under ultrasound guidance.
The inclusion criteria are clinical suspicion of Morton neuroma confirmed in ultrasound scan.
Included patients are assessed clinically by VAS score, the Manchester Foot Pain and
Disability Schedule (MFPDS), and a generic quality-of-life instrument, the EQ-5D.
Injection includes 1 cc of 2% mepivacaine and 40 mg of triamcinolone in each web space with
Morton Neuroma. According evolution until 4 injections were allowed the first 2 months of
follow-up, Follow up was performed by phone calls and/or scheduled consultations at 15 days,
1 month, 45 days, 2 months, 3 months, 6 months and 1 year.
Statistical analysis was performed by unpaired Student's t test
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