Bipartite epiphysis

Case contributed by Dr Servet Kahveci

Presentation

Trauma, 2nd toe pain

Patient Data

Age: 5 years
Gender: Male
X-ray

3 years before (The patient was 5 years old)

  • Bipartite distal epiphysis of 5th metatarsal bone.
  • On AP view, cortical bending is also seen at the base of proximal phalanx of 2nd toe suggestive of fracture.

 

X-ray

Present (The patient is 8 years old)

Normal ossification of the distal epiphysis of 5th metatarsal bone at 8 years of age in the same patient.

Case Discussion

Secondary (epiphyseal or apophyseal) ossification centers may radiographically appear to ossify from multiple sites and this is a normal variant of anatomy. In most patients, radiographs of these patients become normal years later.

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Case information

rID: 83096
Published: 13th Oct 2020
Last edited: 13th Oct 2020
Inclusion in quiz mode: Included
Institution: Sevgi Private Hospital

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