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02/13/2025
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Allen M. Jacobs, DPM
Dr. Lullove implies that it is near malpractice to remove a suspected interdigital neuroma without confirmation of the diagnosis with pre-operative advanced imaging. Simply stated, his position is not only contrary to the standard of care (as reflected in PM News), it is contrary to published studies addressing this issue.
Numerous studies have demonstrated that the accuracy of clinical diagnosis of an interdigital neuroma is sufficient such that advanced imaging is seldom required (e.g.: Pastides, et al, Foot and Ankle Surgery 18 (1) 2012, Mahadevan, et al., JFAS 54 (4), 2015, Owens, et al., Foot and Ankle Surgery, 17 (3), 2011.) The clinical diagnosis has been shown to be safe and reliable. Advanced imaging is indicated when the diagnosis is unclear or...
Editor's note: Dr. Jacobs' extended-length letter can be read here.
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