Last revised by Ashesh Ishwarlal Ranchod on 17 Jun 2024

Brachymetatarsia (a.k.a. congenital short metatarsus) is a rare condition that develops from early closure of the growth plate. 

Females are almost exclusively affected 1

Brachymetatarsia typically affects the fourth metatarsal or, less frequently, more than one metatarsal.

Brachymetatarsia can be related to several genetic conditions and syndromes:

There are several types of lengthening procedures which can be performed. 

For metatarsals that only need to be lengthened up to 15 mm, single-stage lengthening procedures with a variety of biologic and synthetic implants are preferred, whereas gradual lengthening allows for greater length gain and concomitant lengthening of the soft tissues.

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