Hypoplastic toes from amniotic band syndrome
Right toe deformities since birth.
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The toes are significantly hypoplastic, rudimentary and rounded in appearance. Hypoplastic and dysplastic appearing ossification of the proximal phalanx in the 1st, 3rd, 4th, and 5th toes. Absent ossification of the proximal phalanx of the 2nd toe. Tiny ossification of the middle phalanx of the 5th toe is noted. Mildly hypoplastic 2nd metatarsal. The tarsal bones appear intact. The plantar arches are diminutive.
Imaging results of the remainder of the patient's lower extremities were unremarkable. No growth deformities were seen elsewhere in the body. The patient's constellation of findings are compatible with amniotic band syndrome.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center