Definition
Pain in the forefoot in the region of the MT heads
3 groups
1. Localised
Morton's neuroma
Freiberg's
Stress fracture
Infection / tumour
Plantar Keratosis
Plantar Wart
2. Systemic disease
RA
3. Altered forefoot biomechanics / Transfer Metatarsalgia
- irregular Distribution of MT load
A 1st ray insufficiency syndrome
- splayed forefoot
- 1st ray unloaded
B. Short 1st MT
- > 2 cm back from 2nd MT
- varus 1st MT
- 1st ray unloaded
C. Hyper-extended MTPJ with claw toe
D. Iatrogenic
- bunion surgery
- excision of metatarsal head
E. Lax soft tissues
- Lis franc injury
F. Flatfoot
- supination, elevation of 1st metatarsal