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This is a common problem that can affect the joints and bones of the metatarsals. Metatarsalgia is most often localized to the first metatarsal head – the ball of the foot just behind the big toe. There are two small sesamoid bones under the first metatarsal head. The next most frequent site of metatarsal head pain is under the second metatarsal.
Additionally, an intermetatarsal bursitis between the third and fourth metatarsal bones will also give neuroma-type symptoms because it too puts pressure on the nerve. Freiberg disease, which is an osteochondritis of the metatarsal head, causes pain on weight-bearing or compression.
[3] [11] Dogs suffering systemic manifestations of the disorder often have poorer prognoses. Systemic manifestations include fever, multiple body organ inflammation, nasal (nose) and ocular (eye) discharge, diarrhea, hyperkeratosis of the foot pads, pneumonia, and tooth enamel hypoplasia (many of these symptoms overlap with symptoms of CDV).
Neutering may have a part to play, as neutered dogs are more likely to get a luxating patella, possibly due to delayed growth plate closure in dogs neutered before puberty.
Accurate diagnosis of Freiberg disease typically involves a combination of clinical examination and imaging studies: Physical examination: Assessment of pain, swelling, and range of motion in the affected foot. Radiography: X-rays may reveal flattening, sclerosis, or fragmentation of the metatarsal head.
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An avulsion fracture at the base of the fifth metatarsal is sometimes called a "dancer's fracture" or a "pseudo Jones fracture", and usually responds readily to non-operative treatment. [18] The X-ray appearance of the developmental "apophysis" in this area may have some resemblance of a fracture, but is not a fracture; it is the secondary ...
The dog then causes further trauma to the skin by itching and rubbing at the area, leading to a secondary bacterial infection." Acute moist dermatitis: Symptoms A patch of moist, inflamed skin ...