Epiphyseal bracket

Case contributed by Tim Luijkx
Diagnosis certain

Presentation

Epiphyseal bracket 1st metatarsal. Right and left foot. To plan surgical excision.

Patient Data

Age: 2 years
Gender: Female
ct

Bilateral short first metatarsal with epiphysis located at the inferomedial aspect of the metatarsal tending to wrap around its proximal and distal ends (epiphyseal brackets). Bilateral medially angulated first toe.

Case Discussion

An epiphyseal bracket represents an abnormal development of physeal tissue along the diaphysis which occurs in the hand and the feet 1.

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