Brachymetatarsia and multiple sesamoids of the foot
Plantar foot pain in a known foot deformity.
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Shortened 4th metatarsal bone. Multiple sesamoid bones at the MTP joints and the 1st IP joint.
Brachymetatarsia develops from early closure of the growth plate. It typically involves the 4th ray or, less frequently, more than one metatarsal bone. It is related to several genetic conditions and syndromes. Females are almost exclusively affected1. Supernumerous sesamoids at the MTP joints are most common in the 5th ray and least common in the 4th ray. The incidence in the 1st IP joint is 2%2.
- Schimizzi A, Brage M. Brachymetatarsia. Foot Ankle Clin. 2004;9 (3): 555-70, ix. doi:10.1016/j.fcl.2004.05.002 - Pubmed citation
- Coskun N, Yuksel M, Cevener M et-al. Incidence of accessory ossicles and sesamoid bones in the feet: a radiographic study of the Turkish subjects. Surg Radiol Anat. 2009;31 (1): 19-24. doi:10.1007/s00276-008-0383-9 - Pubmed citation