Presentation
Trauma, 2nd toe pain
Patient Data
Age: 5 years
Gender: Male
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3 yr before The patient was 5 yr 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.
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Present The patient is 8 yr 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.