MORTON''S NEUROMA IN PATIENT WITH RHEUMATOID ARTHRITIS
Morton's neuroma being a frequent cause of metatarsalgia is manifested by painful foot anterior part. When Morton's neuroma has a typical course it is diagnosed easily but when the clinical picture is not obvious or when the pathology is combined the differential diagnosis is rather complicated. Morton's neuroma is combined with rheumatoid arthritis not so frequently. When the two pathologies are present simultaneously the classic picture of each pathology changes thus making the differential diagnosis more complicated. Visualization based methods like magnet resonance tomography and ultrasonic examination become especially valuable. The clinical case of Morton's neuroma combined with rheumatoid arthritis described in the publication demonstrates the specific features of the combined pathology clinical course, clinical symptoms association with specific changes in the intermetatarsal bursa and the general plantaris digital nerve having been confirmed by the histological findings. The differential diagnosis using the ultrasonic examination makes possible clinically diagnose the pathology and choose the treatment tactics.