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Type 1: The head of the 5th metatarsal is thickened and enlarged. Type 2: A 5th metatarsal with an increased lateral curve and a normal fourth and fifth inter-metatarsal angle. Type 3: Has the greatest lateral angular disposition of the 5th metatarsal compared to the 4th metatarsal, this phenomenon increases the 4th and 5th inter-metatarsal angles.
Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
The fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. It is the second smallest of the five metatarsal bones. The fifth metatarsal is analogous to the fifth metacarpal bone in the hand. [1] As with the four other metatarsal bones it can be divided into three parts; a base, body and head.
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.
High arches can also cause plantar fasciitis as they cause the plantar fascia to be stretched away from the calcaneus or heel bone. Additionally, high or low arches can increase the risk of shin splints as the anterior tibialis must work harder to keep the foot from slapping the ground. [8]
Plantar fasciitis is an often painful degenerative process of the plantar fascia. Calcaneal spur (heel spur) is a small calcified bone extension ( osteophyte ) located on the inferior aspect of the calcaneus or on the back of the heel at the insertion of the Achilles tendon.