Tyre fell on foot. Fracture? No mention from clinical examination of an atypical appearance to the foot.
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Pre-axial distal phalanx duplication of the great toe (third toe medially).
Two additional fully formed digits lying medial to the great toe.
A total of 7 digits.
An extraodinary foot. Polydactyly of the most uncommon order in a skeletally mature individual.
This is a case of pre-axial polydactyly where the additional digit(s) are on the medial aspect of the foot.
This must cause considerable issues with footwear.