Andrew;
If I remember correctly, Joplin's Neuroma is usually found at the medial
aspect of the 1st mpj and not in the interspace. I've removed one or two of
these that failed w/ conservative care. Good luck.
Sincerely;
Bruce Williams
----- Original Message -----
From: "Andrew Williams" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, January 02, 2004 5:31 AM
Subject: Irritation of plantar nerve in the 1st interspace.
> Dear All,
>
> I have recently seen a number of cases of irritation of the plantar
digital
> nerve in the 1st interspace especially in cyclists?.All cases seem to
have a
> fairly rigid plantarflexed 1st ray and combined with the tight cycling
shoe
> causes the irritation. I have treated quite successfully with orthoses and
> corticosteroid injections. I presume this is a traumatic neuroma and seem
to
> recollect that it was first described by Joplin?
>
> I am going to perform a literature search but thought i would throw it in
for
> discussion.
>
> Any thoughts?
>
>
> Andrew Williams
> Department of Musculoskeletal Science
> University of Liverpool
>
> -----------------------------------------------------------------
> This message was distributed by the Podiatry JISCmail list server
>
> All opinions and assertions contained in this message are those of
> the original author. The listowner(s) and the JISCmail service take
> no responsibility for the content.
>
> to leave the Podiatry email list send a message containing the text
> leave podiatry
> to [log in to unmask]
>
> Please visit http://www.jiscmail.ac.uk for any further information
> -----------------------------------------------------------------
>
-----------------------------------------------------------------
This message was distributed by the Podiatry JISCmail list server
All opinions and assertions contained in this message are those of
the original author. The listowner(s) and the JISCmail service take
no responsibility for the content.
to leave the Podiatry email list send a message containing the text
leave podiatry
to [log in to unmask]
Please visit http://www.jiscmail.ac.uk for any further information
-----------------------------------------------------------------
|