Master the clinical diagnosis and management of Morton's neuroma, the common compressive neuropathy of the interdigital nerve. Learn how to confidently identify the pathognomonic Mulder's click and navigate both conservative and surgical treatments. ⏱ Chapters 0:00 Intro 0:19 Essentials 0:46 Classification 1:13 Mulders 1:34 Imaging 1:58 Algorithm 2:23 Surgical 2:45 Numbers 3:09 Differentials 3:39 Clinical reasoning — Classic 4:02 Clinical reasoning — Recurrent This in-depth Orthovellum masterclass covers everything you need to know about Morton's neuroma, from its underlying pathophysiology of perineural fibrosis to stepwise clinical management. We explore why the third web space is most commonly affected, how to differentiate this neuropathy from other causes of metatarsalgiaand the critical clinical pearls for ultrasound imaging and dorsal neurectomy. 🦴 IN THIS VIDEO YOU'LL LEARN • Understand the pathophysiology of Morton's neuroma as perineural fibrosis rather than a true neoplasm • Identify why the third web space is the most commonly affected location due to dual plantar nerve contributions • Correctly perform and interpret Mulder's click test for interdigital nerve compression • Differentiate Morton's neuroma from other forefoot pathologies like metatarsalgia, MTP synovitisand Freiberg's disease • Implement conservative management strategies including footwear modification and metatarsal padding • Determine the indications and expected outcomes for corticosteroid injections • Explain the dorsal surgical approach for neurectomy and why it is preferred over the plantar approach • Counsel patients on expected postoperative permanent numbness between the affected toes • Recognise and manage the commonest surgical complication: stump neuroma ⏱️ CHAPTERS 📌 KEY TAKEAWAYS ✔️ Morton's neuroma is not a true nerve tumour; it is perineural fibrosis from chronic compression beneath the transverse metatarsal ligament. ✔️ The third web space is most commonly affected (65% of cases) because the nerve there receives contributions from both medial and lateral plantar nerves. ✔️ Mulder's click is the highly specific (95%) pathognomonic sign, but Morton's neuroma is ultimately a clinical diagnosis. ✔️ Permanent numbness between the affected toes after surgical neurectomy is an expected outcome, not a complication. ✔️ A stump neuroma is the commonest actual surgical complication, occurring in 10-15% of cases. 👩⚕️ WHO THIS IS FOR This masterclass is designed for orthopaedic trainees, junior doctorsand medical students seeking a comprehensive understanding of forefoot pathology. Clinicians managing foot and ankle conditions, as well as curious patients looking for detailed, medically accurate information on Morton's neuroma, will also find it highly valuable. 📚 RELATED TOPICS: Interdigital Neuroma Differential Diagnoses · Metatarsalgia and Plantar Plate Injuries · Freiberg's Disease and Metatarsal Avascular Necrosis · Corticosteroid Injections in Foot and Ankle Surgery · Dorsal vs Plantar Approaches in Forefoot Surgery 🔗 More free orthopaedic teaching at Orthovellum.com — subscribe for weekly videos. 🎨 CREDITS • Original Orthovellum production. ⚠️ DISCLAIMER: Educational only — not individual medical advice. Always consult a qualified clinician for diagnosis and treatment. #mortonsneuroma #orthopaedics #footandankle #muldersclick #interdigitalneuroma #metatarsalgia #orthovellum #medicalstudent #forefootpain #neurectomy #podiatry