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Trial Title: US and MRI of the Forefoot: Intermetatarsal Bursitis or Morton's Neuroma

NCT ID: NCT05685160

Condition: Intermetatarsal Bursitis
Morton Neuroma
Intermetatarsal Neuroma

Conditions: Official terms:
Neuroma
Bursitis
Morton Neuroma

Conditions: Keywords:
Forefoot pain
Metatarsalgia

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Intervention model description: This is a diagnostic study with a patient and a control group.

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: MRI with contrast
Description: MRI of the forefoot with contrast (Gadovist)
Arm group label: Control group
Arm group label: Patient group

Intervention type: Diagnostic Test
Intervention name: Ultrasound
Description: Ultrasound imaging of the forefoot
Arm group label: Control group
Arm group label: Patient group

Summary: The aim of this study is to investigate the incidence of intermetatarsal bursitis and Morton's neuroma in patients with metatarsalgia (i.e. pain in the forefoot) and control subjects by diagnostic imaging with ultrasound and MRI.

Detailed description: In a group of patients with intermetatarsal pain found by an orthopedic surgeon, the investigators want to assess the incidences of intermetatarsal bursitis and Morton's neuroma, using diagnostic imaging; ultrasound and MRI. The hypothesis is, that intermetatarsal bursitis is an overlooked diagnosis in patients with metatarsalgia. As a result of sparse literature and lack of knowledge about this condition with symptoms mimicking Morton's neuroma, a part of patients diagnosed with Morton's neuroma, suffers from intermetatarsal bursitis instead. Additionally, the investigators want to evaluate the clinical sign opening toes. Based on clinical photos of the feet, the investigators want to document the presence of opening toes and investigate if there is a correlation with either intermetatarsal bursitis and/or Morton's neuroma.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age > 18 years - Pain in an intermetatarsal space (patient group) Exclusion Criteria: - Age <18 years - Open wounds or ongoing infection in the forefoot at the time of examination - Persons with contraindications to participate in MRI scan - Persons with a history of significant trauma in the forefoot, e.g. any fracture or previous surgeries in the forefoot - Persons who have previously received treatment for Morton's neuroma in the same foot, e.g. injection (within 6 months) or operation (anytime) - Persons with severely impaired renal function (GFR <30 ml/min) - Persons with a systemic inflammatory condition like rheumatoid arthritis, due to clinically silent intermetatarsal bursitis in this group (control group)

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Department of Radiology

Address:
City: Copenhagen
Zip: 2100
Country: Denmark

Status: Recruiting

Contact:
Last name: Sif B Larsen, MD

Phone: +45 21457551
Email: binderlarsen@gmail.com

Start date: June 14, 2021

Completion date: March 2024

Lead sponsor:
Agency: Rigshospitalet, Denmark
Agency class: Other

Collaborator:
Agency: The Danish Rheumatism Association
Agency class: Other

Collaborator:
Agency: Hvidovre University Hospital
Agency class: Other

Collaborator:
Agency: Bispebjerg Hospital
Agency class: Other

Collaborator:
Agency: Gentofte Hospital
Agency class: Other

Source: Rigshospitalet, Denmark

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05685160

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