Minimally invasive surgical technique for deep transverse metatarsal ligament release secondary to painful neuroma using the Arthrex® NanoScopeTM system

Abstract

Neuromas are a common cause of forefoot pain that can be treated surgically via neurolysis, which entails decompression of the deep transverse metatarsal ligament (DTML). This study details a novel technique in which the Arthrex® NanoScopeTM System is utilized for DTML release to treat a painful neuroma in a minimally invasive fashion. This technique is unique because it allows for a quick and easy percutaneous procedure where the DTML can be visualized by the surgeon both prior to and during transection.

Keywords

• Arthrex
• Deep transverse metatarsal ligament
• Minimally invasive surgery
• NanoScope
• Neurolysis
• Neuroma