Pelvic stress fractures in the early postpartum period are rare and may occur even in women with normal bone mineral density. This report describes the case of a 39-year-old woman (gravida 2, para 2) who developed bilateral sacral stress fractures and a left pubic ramus fracture three weeks after elective repeat cesarean delivery of a macrosomic infant. Bone mineral density and trabecular bone score were normal. She was managed conservatively with gradual clinical improvement. During recovery, she developed right forefoot pain consistent with metatarsophalangeal capsulitis and probable Morton's neuroma, likely secondary to altered gait mechanics. Postpartum pelvic stress fractures should be considered in women presenting with severe pelvic or low back pain after delivery, even in the absence of osteoporosis. Conservative management leads to favorable outcomes, although altered biomechanics during recovery may predispose to secondary overuse injuries.

Morton neuroma is a compressive neuropathy of the forefoot interdigital nerve. Neuropathy is chiefly due to compression and irritation at the plantar aspect of the transverse intermetatarsal ligament. It is not a true neuroma as the condition is degenerative rather than neoplastic. It is also referred to as Morton metatarsalgia, interdigital neuritis, Morton entrapment, interdigital neuralgia, interdigital neuroma, interdigital nerve compression syndrome, and intermetatarsal neuroma. The most common location for Morton neuroma is between the 2nd and 3rd metatarsals.

Myriad pathologies affect the lesser toes. In this article, the focus is on the challenging radiological differential diagnosis of plantar plate (PP) degeneration and tear versus webspace neuroma. It is now understood that PP tear and even degeneration without tear is most accompanied by reactive pericapsular soft tissue thickening (pseudoneuroma), which contributes to neuritic symptoms that are often indistinguishable from webspace neuroma. In this article, the authors will review the differing clinical presentations and radiographic, sonographic, and MRI findings of these entities and the different acquired toe deformities that occur in PP dysfunction with pseudoneuroma, versus webspace neuroma.

Nodular soft tissue abnormalities are common in the foot and ankle and often demonstrate overlapping magnetic resonance imaging features, typically showing high signal intensity on T2-weighted sequences. In contrast, T2-weighted hypointense soft tissue nodules are less common and encompass a range of neoplastic and pseudotumoral entities. Among these, Morton's neuroma is likely the most prevalent abnormality; however, other less common but clinically relevant lesions may appear with similar imaging features.

It is rare for patients to present to the plastic surgery department with foot pain. If this occurs, there is a high probability that these are patients who would have visited numerous hospitals without finding a solution to their complaints and have not recovered despite receiving various treatments. In such cases, Morton's neuroma is a diagnosis that remains unseen by the eyes unless it is kept in mind. Following its correct diagnosis, surgical treatment is definitely within the scope of plastic surgery. In this report, we present two male patients, aged 35 and 40 years, treated in our clinic for chronic pain and burning sensation in the third intermetatarsal space. Both patients underwent surgical excision of the neuroma via a dorsal approach. Postoperatively, both patients reported significant improvement in their symptoms and returned to daily activities without complications. Although foot pain is primarily associated with orthopedics, Morton's neuroma is an interdigital nerve pathology that requires precise surgical management. We conclude that plastic surgeons should not hesitate to diagnose and treat this condition, as it falls well within their area of expertise.