Morton's toe is the first metatarsal condition to be shortened in relation to the second metatarsal. This is a type of brachymetatarsia.
The metatarsal bones behind the toes vary in relative length. For most legs, the smooth curve can be traced through the joints at the base of the toes. But at Morton's feet, the line should bend more sharply to get through the base of the big toe, as shown in the diagram. This is because the first metatarsal, behind the big toe, is short compared to the second metatarsal, next to it. The second, longer metatarsal puts joints at the base of the second toe (metatarsal-falangeal, or MTP, together) further forward.
If the big toe and toe both have the same length (measured from the MPT joint to the tip, including only the phalanges), then the second toe will stand out farther than the big toe, as shown in the photo. If the second toe is shorter than the big toe, the big toe may still stand the farthest, or there may be slight differences, as shown on the X-ray.
Video Morton's toe
Presentations
The most common symptom experienced because of Morton's leg is pleading and/or discomfort from the foot ball at the base of the second toe. The first metatarsal head will usually bear most of the person's weight during the propulsive phases of the gait, but since the second metatarsal head is the farthest forward, the force is moved there. Pain can also be felt in the arch of the foot, at the end of the first and second metatarsal anklewards.
In the culture of wearing shoes, Morton's toes can be problematic. For example, wearing shoes with profiles that can not accommodate a longer second toe can cause foot pain. A small (80-person) study found no statistically significant difference in the frequency of the longer toes between people with and without toenail ingredients grown inward, but tight and inappropriate footwear is generally considered to increase the risk of growing toenails into, and shoes are often too tight on the toes.
Maps Morton's toe
Treatment
Asymptomatic anatomic variation in the legs generally does not require treatment.
Conservative treatment for leg pain with toes Morton may involve exercise or placing flexible cushions under the first toes and metatarsals; an early version of this latest treatment ever patented by Dudley Joy Morton. Restoring Morton's toes to normal function with orthotics proprioceptive can help ease many problems on the feet such as metatarsalgia, hammer toes, bunions, Morton's neuroma, plantar fasciitis and general fatigue in the legs. A rare crippling pain case is sometimes treated surgically.
Prevalence
Morton's toe is a minor variant of the foot shape. Its recorded prevalence varies in different populations, with estimates from 2.95% to 22%.
Etymology
The name is derived from American orthopedic surgeon Dudley Joy Morton (1884-1960), who originally described it as part of the Morton triad (aka Morton syndrome or Morton's foot syndrome ): the first congenital short metatarsal bone, the first hypermobile metatarsal segment and calluses under the second and third metatarsals.
The confusion has arisen from "Morton's feet" used for different conditions, Morton's metatarsalgia, which affects the space between bones and named Thomas George Morton (1835-1903).
Cultural association
Morton's toes, especially versions of both legs are longer, have a long relationship with anthropological and ethnic interpretations that are disputed. Morton called it Metatarsus atavicus, thinking of it as an atavism that retracted the toes of early humans. In the installation of sculptures and shoes, the second, more prominent finger is called the Greek leg (as opposed to the Egyptian leg, where the big toe is longer). It is an ideal form in Greek sculpture, and it survives as an aesthetic standard through the Roman and Renaissance periods and then (The Statue of Liberty has the toes of this proportion). There are also associations found in the Celtic group. The French used to call it pied grec (like the Italians call it piede greco ) but sometimes pied ancestors or pied de NÃÆ'Ã… © anderthal .
See also
- The digit rate
- Legs
- List of Mendelian traits in humans
- Runner's leg, repetitive injuries seen on runners
Note
References
- Morton, DJ "Metatarsus atavicus: identification of different types of foot disorders", The Journal of Bone and Joint Surgery , Boston, 1927, 9: 531-544.
- Fingers, the first and second relative lengths of Online Mendelian Legacy in the Man .
- EFORT - National Federation of European Orthopedic and Traumatology Associations: Scientific Libraries: The concept of human foot in mythology, art and operations, John Kirkup, European Orthopedic Bulletin ), # 11, November 1999.
- "English Foot" Find Magazines , June, 1996, Retrieved July 2006.
- Fett, HC; Pool, CC (1949). "Plantar interdigital neuroma or Morton's finger". American operations journal . 78 (4): 522-5. doi: 10.1016/0002-9610 (49) 90218-4. PMID 18141198.
Source of the article : Wikipedia
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