Morton's Test: Checking for Neuroma or Fracture

Morton's Test, often called the Foot Squeeze Test, is used to identify conditions affecting the metatarsals, specifically Morton's Neuroma or stress fractures.

1. Purpose

The primary purpose of Morton's Test (also known as the Foot Squeeze Test) is to **check for** the presence of a Morton's Neuroma (interdigital neuroma) or a metatarsal stress fracture. It involves compressing the metatarsal heads.

2. How to Perform

1. The patient is positioned in sitting or supine.
2. The examiner grasps the patient's foot around the metatarsal heads (the ball of the foot).
3. The examiner applies a firm medial and lateral compression, squeezing the metatarsal heads together.

3. Positive & Negative Sign

Positive Sign (Test is POSITIVE):
A positive test is indicated by:

• Reproduction of pain between the metatarsal heads.
• A palpable "click" (Mulder's Click) may be felt, indicating the neuroma is squeezing between the bones.
• Pain radiating to the toes.

Negative Sign (Test is NEGATIVE):
A negative test is no pain or clicking sensation during compression.