Brachymetatarsia

Case contributed by Ashesh Ishwarlal Ranchod
Diagnosis certain

Presentation

Incidental finding during imaging for blunt trauma to the right foot. The patient was a pedestrian in a pedestrian-vehicle accident.

Patient Data

Age: 13 years
Gender: Female
x-ray

There are short left 3rd and 4th and right 4th metatarsals.

There are no post-traumatic bony abnormalities.

Case Discussion

Features consistent with bilateral brachymetatarsia ( congenitally short metatarsus).

This condition arises due to the premature closure of the metatarsal growth plates. It almost exclusively occurs in female patients and also typically affects the 4th metatarsal as in this case. Occasionally it may involve additional metatarsals, in this instance, the left 3rd metatarsal is also affected.

Patients are often pain-free and present for cosmesis.

When presenting with pain, it is usually due to transfer metatarsalgia.

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