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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 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 analogous to the knuckles of the hand, and are consequently known as toe knuckles in common speech. 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 dorsal ligaments are strong, flat bands.. The first metatarsal is joined to the first cuneiform by a broad, thin band; the second has three, one from each cuneiform bone; the third has one from the third cuneiform; the fourth has one from the third cuneiform and one from the cuboid; and the fifth, one from the cuboid.
It passes distally along the lateral part of the dorsum of foot. It gives rise to the lateral dorsal digital nerve of the 5th toe, and sometimes also the medial dorsal digital nerve of the 5th toe as well as the lateral dorsal digital nerve of the 4th toe [1] (thus replacing branches of the intermediate dorsal cutaneous nerve [2]).
High-heeled, tight, or narrow shoes can make pain worse. This is common in runners, particularly of long distance. The ball of the foot takes a lot of weight over the years and if running on pavement or running in ill-fitting running shoes, the odds of developing Morton's neuroma increase. Changing to shoes that give the toes more room can help.
The interphalangeal joints of the foot are the joints between the phalanx bones of the toes in the feet. Since the great toe only has two phalanx bones ( proximal and distal phalanges), it only has one interphalangeal joint, which is often abbreviated as the " IP joint ".
Bones of the right foot. Dorsal surface. Metatarsus shown in yellow. The base of each metatarsal bone articulates with one or more of the tarsal bones at the tarsometatarsal joints, and the head with one of the first row of phalanges at the metatarsophalangeal joints. Their bases also articulate with each other at the intermetatarsal joints
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