Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
sports topic hub

Morton’s Neuroma

Perineural fibrosis of the common plantar digital nerve—classically in the 3rd webspace—causing burning plantar forefoot pain. Provocative tests: web‑space compression, Mulder’s click (palpable snap with medial–lateral squeeze), sensory symptoms into adjacent toes. Initial management is non‑operative: wide toe‑box shoes, metatarsal pads, activity modification; steroid injections provide short‑term relief; ultrasound‑guided ablation/PRP considered. Failure of conservative care → neurectomy of the affected common digital nerve through dorsal approach (risk: permanent web‑space numbness, stump neuroma).

Overview

Topic summary

View wiki
Perineural fibrosis of the common plantar digital nerve—classically in the 3rd webspace—causing burning plantar forefoot pain. Provocative tests: web‑space compression, Mulder’s click (palpable snap with medial–lateral squeeze), sensory symptoms into adjacent toes. Initial management is non‑operative: wide toe‑box shoes, metatarsal pads, activity modification; steroid injections provide short‑term relief; ultrasound‑guided ablation/PRP considered. Failure of conservative care → neurectomy of the affected common digital nerve through dorsal approach (risk: permanent web‑space numbness, stump neuroma).
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the most common web space affected by Morton's neuroma?

Question 2

Which clinical test is considered the most specific for diagnosing Morton's neuroma?

Question 3

What is the primary pathophysiological mechanism behind Morton's neuroma?

Question 4

What is the initial management for Morton's neuroma?

Question 5

Which of the following symptoms is NOT typically associated with Morton's neuroma?

Question 6

Which demographic is most commonly affected by Morton's neuroma?

Question 7

What is a potential risk of surgical neurectomy for Morton's neuroma?

Question 8

What is the typical histological finding in Morton's neuroma?

Question 9

Which of the following factors contributes to the development of Morton's neuroma?

Question 10

What is the typical diameter of a Morton's neuroma lesion?