Cause, clinical and ultrasound findings

  • Fibrous tissue around the interdigital nerve may result from friction from wearing high heels, abnormal loading, etc.

  • The patient has stabbing or aching pain and a tender area at the interdigital space on pressure (Tinel test).

  • Ultrasound findings are a hypoechoic lesion (neuroma) at the intermetatarsal space, with or without associated bursitis. On pressure, the bursitis is shifted away and the neuroma is more evident.

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