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There is a markedly dysmorphic trapezoid morphology of the first metatarsal bilaterally, with its apex directed laterally. The medial cuneiforms are enlarged and dysmorphic in appearance with V-shaped articulations with the first metatarsals. Middle cuneiform is normal in appearance. The base of the second metatarsals are broad and overhang the middle cuneiform laterally. There is apex lateral curvature of the second metatarsals. There is secondary forefoot varus.