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Foot & Ankle
intermediate
X-Type

Metatarsalgia - Forefoot Pain, Morton Neuroma, and Freiberg Disease

Forefoot Disorders

A 52-year-old female presents with forefoot pain localized to the 3rd webspace. She describes burning pain and numbness radiating to the 3rd and 4th toes, worse with narrow shoes and relieved by removing her shoes and massaging her foot. Examination reveals a positive Mulder click. Ultrasound shows a 7mm hypoechoic mass in the 3rd intermetatarsal space. Regarding Morton neuroma (interdigital neuroma):

Mark each as TRUE or FALSE

A

Morton neuroma is NOT a true neuroma but a perineural FIBROSIS of the common digital nerve; most com...

B

The Mulder click is pathognomonic: lateral compression of the metatarsal heads while palpating the a...

C

Morton neuroma is a true benign nerve tumor; the 1st webspace is most commonly affected; males are a...

D

Conservative treatment (60-70% success): wider shoes with low heels, metatarsal pad placement PROXIM...

E

Surgical options: dorsal approach for excision (most common) with nerve resection proximal to metata...

Answer the questions to see explanations

Click T (True) or F (False) for each option