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The fourth metatarsal bone is a long bone in the foot. It is smaller in size than the third metatarsal bone and is the third longest (and smallest) of the five metatarsal bones. The fourth metatarsal is analogous to the fourth metacarpal bone in the hand [1] As the four other metatarsals bones it can be divided into three parts; base, body and ...
They are condyloid joints, meaning that an elliptical or rounded surface (of the metatarsal bones) comes close to a shallow cavity (of the proximal phalanges). The region of skin directly below the joints forms the ball of the foot. The ligaments are the plantar and two collateral.
A hammer toe, hammertoe or contracted toe is a deformity of the muscles and ligaments of the proximal interphalangeal joint of the second, third, fourth, or fifth toe, bending it into a shape resembling a hammer. In the early stage, a flexible hammertoe is movable at the joints; a rigid hammertoe joint cannot be moved and usually requires surgery.
The only movements permitted in the joints of the digits are flexion and extension; these movements are more extensive between the first and second phalanges than between the second and third. The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively.
The phalanges of the foot differ from the hand in that they are often shorter and more compressed, especially in the proximal phalanges, those closest to the torso. [3] A phalanx is named according to whether it is proximal, middle, or distal and its associated finger or toe. The proximal phalanges are those that are closest to the hand or foot.
If there is diffuse pain and tenderness across the foot, it may be necessary to X-ray the whole foot. [8] For displaced fractures, follow-up X-rays may be taken 3-6 weeks after injury. [3] If a dislocated toe (a joint dislocation) is suspected, an X-ray may needed. [7] In people with multiple traumas, foot trauma is often neglected. [10]
Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve, most commonly of the second and third intermetatarsal spaces (between the second/third and third/fourth metatarsal heads; the first is of the big toe), which results in the entrapment of the affected nerve.
The two heads of each muscle form a central tendon which passes forwards deep to the deep transverse metatarsal ligament. [1] The tendons are inserted on the bases of the second, third, and fourth proximal phalanges [2] and into the aponeurosis of the tendons of the extensor digitorum longus [3] without attaching to the extensor hoods of the toes.
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