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Metatarsalgia M77.40 726.70 synonyms:metatarsalgia Metatarsalgia ICD-10 M77.40. Metatarsalgia, unspecified foot M77.41. Metatarsalgia, right foot M77.42. Metatarsalgia, left foot Metatarsalgia ICD-9 Metatarsalgia Etiology / Epidemiology / Natural History  Metatarsalgia = nonspecific term for pain in the lesser metatarsalphalangeal joints. Metatarsalgia Anatomy The extensor digitorum longus and brevis are generally innervated by the deep peroneal nerve.

Plantar plate consists of the plantar aponeurosis and the plantar capsule. Plantar fat pad: a protective fatty cushion beneath the metatarsal heads; normally connected to the bases of the phalanges. Metatarsalgia Clinical Evaluation  Anterior drawer test: hold the metatarsal head between the index finger and thumb; grasp the base of the proximal phalanx with the other hand and apply a dorsally directed force.

Dorsal displacement and pain indicate metatarsophalangeal joint instability or MTP synovitis. Metatarsalgia Xray / Diagnositc Tests Metatarsalgia Classification / Treatment Initially treatment = pre-made flexible orthosis with metatarsal pad or custom-made orthosis Secondary treatment = rocker bottom soled shoe Metatarsalgia Associated Injuries / Differential Diagnosis Claw toe Monoarticular nontraumatic synovitis Morton's Neuroma Metatarsophalangeal joint instability Plantar Keratosis Frieberg's Infraction Cock-up fifth toe Metatarsalgia Complications Metatarsalgia Follow-up Care Metatarsalgia Review References Metatarsalgia Etiology / Epidemiology / Natural History, Anatomy, Clinical Evaluation, Xray / Diagnostic Tests, Classification / Treatment, Associated Injuries / Differential Diagnosis, Complication, Follow-up Care, Review References

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