Neuroma interdigital em paciente com macrodactilia do hálux

case report

Resumo

A patient with macrodactyly of the hallux, returned 2 years after amputation of the distal phalanx, complaining of pain and swelling
in the plantar foot. The Tinel, Moulder, and Gauthier signs were all present. Diagnostic hypotheses were: neuroma of the amputation
stump, compressive neuroma, neurofibroma, or schwannoma. Histopathological diagnosis demonstrated that the tumor was a neuroma.
This is a rare and unique case associated with macrodactyly, in which nerves tend to be hypertrophic. The location in the first
intermetatarsal space is uncommon. The treatment proposed was resection of the entire involved nerve; symptoms improved and there
was no relapse.
Level of Evidence V, Therapeutic Studies; Expert Opinion.