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AN 3203 – METATARSALGIA EXAM QUESTIONS AND ANSWERS
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AN 3203 – METATARSALGIA EXAMQUESTIONS AND ANSWERS
Metatarsalgia - ANSWER a condition in which the ball of your foot
becomes painful and inflamed.
You might develop it if you participate in activities that involve running
and jumping
Metatarsalgia Symptoms - ANSWER -A sharp or aching or burning pain
in the forefoot.
-Worse when standing walking or running.
-A sharp or shooting pain, the patient describes having a pebble in their
shoe.
Metatarsalgia Risk Factors - ANSWER -Intense training such as
running
-High-arched feet
-Low arch feet (stress fractures and Morton neuroma)
-Tight posterior compartment musculature
-Morton's toe
-Hammer toes
-Excess weight
-High heeled shoes, shoes with narrow toe box or lack of padding
List 3 Types of Metatarsalgia - ANSWER A.Impact Pain
B.Stress Fractures
C.Morton's Neuroma
Mechanopathology of Morton's Neuroma:
-______ of the nerve sheath (common plantar nerve where it divides into
digital branches).
, -Most commonly occurs between ______rd and ______th metatarsals
(______%). Also between 2nd and 3rd and 4th and 5th (30%).
-It is considered to be an ______ syndrome. It may be a combination of
______ trauma and ______ entrapment neuropathy. - ANSWER -
Thickening of the nerve sheath (common plantar nerve where it divides
into digital branches).
-Most commonly occurs between 3rd and 4th metatarsals (70%). Also
between 2nd and 3rd and 4th and 5th (30%).
-It is considered to be an entrapment syndrome. It may be a combination
of compression trauma and ischemic entrapment neuropathy.
Mechanopathology of Morton's Neuroma:
-Interdigital neuromas occur as a result of compression of the ______
______ against the distal end of the ______ ______ ______ ligament
during ______ of the toes.
-Common causes include ______ toe-box footwear, ______ of the toes
in high-heeled shoes, deviation of the toes, inflammation of the ______
bursa, thickening of the ______ ______ metatarsal ligament, forefoot
trauma, high impact sporting activities, ______ joint pathology, and
______. - ANSWER -Interdigital neuromas occur as a result of
compression of the interdigital nerve against the distal end of the
superficial transverse metatarsal ligament during dorsiflexion of the toes.
-Common causes include narrow toe-box footwear, hyperextension of
the toes in high-heeled shoes, deviation of the toes, inflammation of the
intermetatarsal bursa, thickening of the superficial transverse metatarsal
ligament, forefoot trauma, high impact sporting activities,
metatarsophalangeal joint pathology, and lipoma.
List 3 things compression and repetitive trauma to the nerve can result in
- ANSWER 1. vascular changes
2. endoneurial edema,
3. excessive bursal thickening leading to perineural fibrosis.
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