0:01

I am going to then just make one other comment.

0:04

Um, here. I, I know there's a, um, a couple of things, uh,

0:09

else that are left here.

0:10

Um, before we go into the cases,

0:14

we talked about some of the muscles.

0:16

Um, we talked about the joints.

0:19

One of the thing that you're gonna be asked to look

0:21

for is Morton's neuroma.

0:23

And so Morton's neuroma, um, is basically, um,

0:28

peral scarring and neuroma formation

0:32

of the interdigital nerve.

0:34

So there's a nerve that goes in between the,

0:38

uh, toes, right?

0:39

Uh, and so we talk about the web spaces.

0:42

So you have the first, the second, the third and the fourth.

0:46

And what you're gonna look for is a focal area

0:49

and we'll showcase of, um, kind of T one intermediate

0:53

to low signal rounded, uh, mass like structure going

0:57

between the metatarsal heads.

0:59

And I'm at the level of the MTP joints here.

1:02

So you're gonna wanna scroll back

1:03

and forth through those areas here where my cursor is

1:06

and look for anything that looks like a rounded thing kind

1:09

of hanging down there.

1:11

Um, it's, uh, most commonly in the third, uh, MTP,

1:15

uh, third, um, inter third web space.

1:18

Also the second very common.

1:21

So really focusing on the second and the third.

1:24

Uh, the thing that can kind of, um, trip people up is that

1:28

often with just joint pathology,

1:31

you might have peric capsular scarring along the plantar

1:34

aspects of the M mtp joints.

1:36

Um, that density or that signal

1:39

or mass like area, sorry about that, will be, um, more so

1:45

in the midline, not, not so much, um, in the actual, um,

1:50

inter metatarsal space.

1:52

And so what you want to do is really focus

1:55

between the metatarsal heads there

1:57

and see if you see any, uh,

1:59

any extra tissue in those locations.

2:02

And I will show an example on the T twos.

2:04

You want to, um, also look for inter metatarsal bursitis.

2:08

And so, um, what you're going to look for is, um,

2:12

too much fluid between the meta in a metatarsal spaces in

2:15

that similar area you are.

2:18

Um, you are sort of allowed to have a little bit of fluid,

2:20

um, in those spaces,

2:21

but if you start to see kind of more rounded, um, areas kind

2:26

of going up and down and the patient has a history

2:28

that fits, that's when you can diagnose inter

2:30

metatarsal, uh, bursitis.

2:34

So, um, that is kind of a whirlwind, um, anatomy

2:39

of the forefoot, uh, four foot midfoot

2:42

for your kind of what to look for.

2:44

Talked about the bones, the ligaments, the tendons.