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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 head. The base is the part closest to the ankle and the head is closest to the toes. The narrowed part in the middle is referred to as the body or shaft of the bone.
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.
Left: toes adducted (pulled towards the center) and spread (abducted); right, both feet clenched (plantar flexed) The upper foot is clenching (plantarflexing) at the MTP joints and at the joints of the toes; the central foot is lifting the toes (dorsiflexing) at the MTP joints; and the foot flat on the ground off to the side is in a neutral ...
Babinski's sign in a healthy newborn. The Babinski sign can indicate upper motor neuron lesion constituting damage to the corticospinal tract.Occasionally, a pathological plantar reflex is the first and only indication of a serious disease process and a clearly abnormal plantar reflex often prompts detailed neurological investigations, including CT scanning of the brain or MRI of the spine, as ...
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.
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 intermediate dorsal cutaneous nerve divides into four dorsal digital branches, which supply the medial and lateral sides of the third and fourth, and of the fourth and fifth toes. The lateral dorsal cutaneous nerve from the sural nerve turns into a dorsal digital nerve and supplies the lateral side of the fifth toe.
Urdu in its less formalised register is known as rekhta (ریختہ, rek̤h̤tah, 'rough mixture', Urdu pronunciation:); the more formal register is sometimes referred to as زبانِ اُردُوئے معلّٰى, zabān-i Urdū-yi muʿallá, 'language of the exalted camp' (Urdu pronunciation: [zəbaːn eː ʊrdu eː moəllaː]) or لشکری ...