Case contributed by Hani Makky Al Salam
Diagnosis certain


Trauma following fall. Tender base of 5th metatarsal.


There is no fracture, but there is an additional toe that projects from the distal 5th metatarsal and constitutes a proximal and distal phalanx. Presumably, this was noted clinically!

Case Discussion

This child has an extra digit on their foot (polydactyly).

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