{"id":214,"date":"2015-10-26T12:34:38","date_gmt":"2015-10-26T11:34:38","guid":{"rendered":"http:\/\/www.spotornofoundation.it\/website\/?page_id=214"},"modified":"2019-06-14T16:46:30","modified_gmt":"2019-06-14T14:46:30","slug":"neuroma-di-morton","status":"publish","type":"page","link":"https:\/\/www.spotornofoundation.it\/website\/patologie\/piede\/neuroma-di-morton\/","title":{"rendered":"Neuroma di Morton"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;&#8221; parallax=&#8221;&#8221; parallax_image=&#8221;&#8221; opn_row_id=&#8221;&#8221; opn_row_gutter=&#8221;&#8221; opn_enable_overlay=&#8221;off&#8221; opn_hide_navigation=&#8221;off&#8221; bg_type=&#8221;&#8221; parallax_style=&#8221;&#8221; bg_image_new=&#8221;&#8221; layer_image=&#8221;&#8221; bg_image_repeat=&#8221;&#8221; bg_image_size=&#8221;&#8221; bg_cstm_size=&#8221;&#8221; bg_img_attach=&#8221;&#8221; parallax_sense=&#8221;&#8221; bg_image_posiiton=&#8221;&#8221; animation_direction=&#8221;&#8221; animation_repeat=&#8221;&#8221; video_url=&#8221;&#8221; video_url_2=&#8221;&#8221; u_video_url=&#8221;&#8221; video_opts=&#8221;&#8221; video_poster=&#8221;&#8221; u_start_time=&#8221;&#8221; u_stop_time=&#8221;&#8221; viewport_vdo=&#8221;&#8221; enable_controls=&#8221;&#8221; bg_override=&#8221;&#8221; disable_on_mobile_img_parallax=&#8221;&#8221; parallax_content=&#8221;&#8221; parallax_content_sense=&#8221;&#8221; fadeout_row=&#8221;&#8221; fadeout_start_effect=&#8221;&#8221; enable_overlay=&#8221;&#8221; overlay_color=&#8221;&#8221; overlay_pattern=&#8221;&#8221; overlay_pattern_opacity=&#8221;&#8221; overlay_pattern_size=&#8221;&#8221; overlay_pattern_attachment=&#8221;&#8221; multi_color_overlay=&#8221;&#8221; multi_color_overlay_opacity=&#8221;&#8221; seperator_enable=&#8221;&#8221; seperator_type=&#8221;&#8221; seperator_position=&#8221;&#8221; seperator_shape_size=&#8221;&#8221; seperator_svg_height=&#8221;&#8221; seperator_shape_background=&#8221;&#8221; seperator_shape_border=&#8221;&#8221; seperator_shape_border_color=&#8221;&#8221; seperator_shape_border_width=&#8221;&#8221; icon_type=&#8221;&#8221; icon=&#8221;&#8221; icon_size=&#8221;&#8221; icon_color=&#8221;&#8221; icon_style=&#8221;&#8221; icon_color_bg=&#8221;&#8221; icon_border_style=&#8221;&#8221; icon_color_border=&#8221;&#8221; icon_border_size=&#8221;&#8221; icon_border_radius=&#8221;&#8221; icon_border_spacing=&#8221;&#8221; icon_img=&#8221;&#8221; img_width=&#8221;&#8221; ult_hide_row=&#8221;&#8221; ult_hide_row_large_screen=&#8221;&#8221; ult_hide_row_desktop=&#8221;&#8221; ult_hide_row_tablet=&#8221;&#8221; ult_hide_row_tablet_small=&#8221;&#8221; ult_hide_row_mobile=&#8221;&#8221; ult_hide_row_mobile_large=&#8221;&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]A seguito di microtraumi ripetuti, all\u2019utilizzo di calzature eccessivamente strette sull\u2019avampiede si\u00a0pu\u00f2 verificare la comparsa del cosiddetto <strong>neuroma di Morton<\/strong>.<\/p>\n<p>Tale patologia consiste nella formazione di un piccolo neurinoma a carico dei rami digitali del\u00a0nervo plantare, generalmente a livello del II e III spazio interdigitale subito distalmente al\u00a0legamento intermetatarsale trasverso.<\/p>\n<p>Generalmente viene colpito in misura maggiore il sesso femminile e tale patologia \u00e8 perlopi\u00f9\u00a0unilaterale.<\/p>\n<p>Il sintomo principale del neuroma intergiditale \u00e8 il dolore, urente e crampiforme, pi\u00f9\u00a0frequentemente localizzato a livello della terza e quarta testa metatarsale.<\/p>\n<p>Il dolore aumenta con la deambulazione e si attenua con il riposo, togliendo le scarpe e\u00a0massaggiando il piede.<\/p>\n<p>Il dolore viene evocato alla digitopressione in sede dorsale, oppure effettuando una\u00a0compressione delle teste metatarsali; talvolta eseguendo tale manovra \u00e8 possibile udire un\u00a0click legato al passaggio del nervo attraverso il legamento trasverso (segno di Mulder)<\/p>\n<p>I pazienti possono riferire ipoestesia nella regione interna delle dita correlate allo spazio\u00a0interdigitale interessato, a pagina di libro, ma questo reperto \u00e8 incostante.<\/p>\n<p>La diagnosi \u00e8 prevalentemente clinica ma si pu\u00f2 avvalere dell\u2019ausilio di esami strumentali\u00a0come ecografie o RMN.<\/p>\n<p>In prima battuta si possono effettuare delle infiltrazioni di corticosteroidi nel tentativo di\u00a0disinfiammare la zona interessata, ma quando non vi \u00e8 pi\u00f9 beneficio l\u2019alternativa \u00e8 il\u00a0trattamento chirurgico.<\/p>\n<p>L\u2019asportazione chirurgica pu\u00f2 avvenire sia plantare che dorsale, a seconda delle preferenze\u00a0del chirurgo, e viene fatta in anestesia locoregionale in condizione di ischemia dell\u2019arto da\u00a0operare. Generalmente si viene ricoverati in regime di one-day surgery.<\/p>\n<p>Il carico, con le apposite scarpe post operatorie, \u00e8 concesso dal giorno dopo l\u2019intervento.<\/p>\n<p>Si deve mantenere un minimo bendaggio per il periodo post operatorio e i punti di sutura\u00a0vengono rimossi dopo 2 \/ 3 settimane.<\/p>\n<p>Dopo la rimozione dei punti di sutura si pu\u00f2 tornare alla normale vita quotidiana, senza\u00a0particolari limitazioni sull\u2019utilizzo di calzature.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_text_separator title=&#8221;Patologie Piede&#8221; title_align=&#8221;separator_align_center&#8221; align=&#8221;align_center&#8221; color=&#8221;grey&#8221;][vc_wp_custommenu nav_menu=&#8221;5&#8243;][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;&#8221; parallax=&#8221;&#8221; parallax_image=&#8221;&#8221; opn_row_id=&#8221;&#8221; opn_row_gutter=&#8221;&#8221; opn_enable_overlay=&#8221;off&#8221; opn_hide_navigation=&#8221;off&#8221; bg_type=&#8221;&#8221; parallax_style=&#8221;&#8221; bg_image_new=&#8221;&#8221; layer_image=&#8221;&#8221; bg_image_repeat=&#8221;&#8221; bg_image_size=&#8221;&#8221; bg_cstm_size=&#8221;&#8221; bg_img_attach=&#8221;&#8221; parallax_sense=&#8221;&#8221; bg_image_posiiton=&#8221;&#8221; animation_direction=&#8221;&#8221; animation_repeat=&#8221;&#8221; video_url=&#8221;&#8221; video_url_2=&#8221;&#8221; u_video_url=&#8221;&#8221; video_opts=&#8221;&#8221; video_poster=&#8221;&#8221; u_start_time=&#8221;&#8221; u_stop_time=&#8221;&#8221; viewport_vdo=&#8221;&#8221; enable_controls=&#8221;&#8221; bg_override=&#8221;&#8221; disable_on_mobile_img_parallax=&#8221;&#8221; parallax_content=&#8221;&#8221; parallax_content_sense=&#8221;&#8221; fadeout_row=&#8221;&#8221; fadeout_start_effect=&#8221;&#8221; enable_overlay=&#8221;&#8221; overlay_color=&#8221;&#8221; overlay_pattern=&#8221;&#8221; overlay_pattern_opacity=&#8221;&#8221; overlay_pattern_size=&#8221;&#8221; overlay_pattern_attachment=&#8221;&#8221; multi_color_overlay=&#8221;&#8221; multi_color_overlay_opacity=&#8221;&#8221; seperator_enable=&#8221;&#8221; seperator_type=&#8221;&#8221; seperator_position=&#8221;&#8221; seperator_shape_size=&#8221;&#8221; seperator_svg_height=&#8221;&#8221; seperator_shape_background=&#8221;&#8221; seperator_shape_border=&#8221;&#8221; seperator_shape_border_color=&#8221;&#8221; seperator_shape_border_width=&#8221;&#8221; icon_type=&#8221;&#8221; icon=&#8221;&#8221; icon_size=&#8221;&#8221;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":203,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/214"}],"collection":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/comments?post=214"}],"version-history":[{"count":3,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/214\/revisions"}],"predecessor-version":[{"id":824,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/214\/revisions\/824"}],"up":[{"embeddable":true,"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/pages\/203"}],"wp:attachment":[{"href":"https:\/\/www.spotornofoundation.it\/website\/wp-json\/wp\/v2\/media?parent=214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}