Orthonotes
Orthonotes
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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).

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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).
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