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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.
[7]: p15, 18, 72–73 At the end of a long journey on foot, the arches flatten, the metatarsals spread, and the foot swells more than after a short one. [7]: 52 The toes also need vertical space; a toe cap which is low enough to press on the top of the toe may also cause bruising under the nail, especially if the toe cap is stiff. If the toebox ...
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.
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.
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The second, third, and fourth dorsal interossei have insertions both proximally on the base of the metacarpal and hood, and distally on the lateral bands and central tendon of the extensor mechanism. The abductor digiti minimi, effectively the "fifth dorsal interosseus" or the dorsal interosseus of the little finger, has only a proximal insertion.
Gonda's sign is a clinical sign in which flexing and then suddenly releasing the fourth toe elicits an extensor plantar reflex. It is found in patients with pyramidal tract lesions, and is one of a number of Babinski-like responses . [ 1 ]
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