Brachymetatarsia Brachymetatarsia is characterized by a shorter than usual metatarsal bone, one of the five long bones in the feet that end in the toes. If more than one of the long bones of the foot is affected, it is known as brachymetapody. The disease is often congenital, but can also be caused by an injury to the growth plate of the short toe.
Scientific Literature Review Reviewed By: Congenital brachymetatarsia results in an abnormally short toe due to an interruption in the growth of a metatarsal. Distraction osteogenesis, while a popular surgical procedure for brachymetatarsia, often requires multiple trips to the operating room and necessitates strict patient compliance.
Because the cause of brachymetatarsia is thought to be from premature closing of the distal epiphyseal growth plate, this study evaluated the use of an autogenous iliac bone graft at the epiphysis with repositioning of the MTPJ articular cartilage cap for a single-stage Congenital brachymetatarsia treatment of fourth metatarsal brachymetatarsia.
This is a Congenital brachymetatarsia review of 56 feet in 41 patients with congenital brachymetatarsia of the fourth who were treated with a single-staged autogenous iliac bone grafting over an eight-year period.
The primary treatment goal for all patients was cosmetic improvement. Autogenous bone graft was then harvested from the contralateral limb and inserted into the new cartilaginous cap using a K-wire. The K-wire was then driven into the metatarsal base to allow graft interposition.
The graft site was fixated with two crossed K-wires. Postoperative course included heel-touch partial weightbearing ambulation in short leg splints with crutch shoes.
K-wires were removed at eight weeks with confirmed radiological union. Radiological evaluation included pre- and postoperative metatarsal length gains and percentages.
If MRI was used, the viability of the cartilage cap was assessed. Cosmetic evaluation was based on overall foot configuration, scarring, donor site morbidity and symmetry of the bilateral feet.
The mean follow-up period was The mean fixation period was There was one case of nonunion, which was asymptomatic and did not require revision.
The authors propose a successful option for single-staged surgical correction of brachymetatarsia using autogenous bone grafting to the epiphysis of the fourth metatarsal.
There seemed to be fewer complications and increased length gain as compared to a study by Lee et al.
The authors reported limitations in assessing cartilaginous cap viability due to the low number of MRIs. After reviewing this article, it was unclear if this was a single-surgeon or multiple-surgeon procedure. Exclusion and inclusion criteria were not clearly defined. While outcomes appeared to be good overall, it is difficult to assess functionality of the procedure when the primary goal was cosmetic.
With the need for a second specialist to perform the bone graft harvesting in many states, the use of allogenic iliac bone graft at the epiphysis should be investigated.Congenital brachymetatarsia is a rare deformity with an incidence ranging from % to % and a clear female preponderance of , affecting mainly the fourth metatarsal bone.
10,14,17 In some cases, brachymetatarsia may occur due to iatrogenic or traumatic damage of the growth plate. 4,15 This deformation of the foot may cause. Brachymetatarsia is a congenital condition characterised by the abnormal shortening of the metatarsals due to the premature closure of the metatarsal epiphyseal growth plate, either unilaterally or bilaterally.
Short description: Cong foot deform NEC. ICDCM is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, should only be used for claims with a date of service on or before September 30, For claims with a date of service on or after October 1, , use an equivalent ICDCM code (or codes).
congenital or acquired disorders, either as an isolated malformation or with other skeletal manifestations. 2 Brachymetatarsia and brachymetacarpia are respectively. Jennifer Garner - Brachymetatarsia - The Podiatry Group.
|Brachymetatarsia | Lexington Podiatry||Thanks for the Response, you hit it on the head. Steve Thank you for your time and expertise in answering my question….|
|brachymetatarsia | The Foot and Ankle Online Journal||Metatarsal lengthening by callotasis in adults with first brachymetatarsia. Brachymetatarsia is a rare clinical entity that presents a challenging problem for surgeons.|
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The Podiatry Group. This congenital disorder is attributed to the abnormal shortening of the metatarsal bone and it commonly affects women than men. Preventing the symptoms by getting early treatment is the possible way to prevent brachymetatarsia.
At The Podiatry Group, located. Brachymetatarsia was described by Kite as shortening of one or more metatarsals because of a premature fusion of the epiphyseal line at the distal end of the metatarsal (Fig. 3). .