Brachymetatarsal Brachymetatarsal


Brachymetatarsia is a condition affecting the foot in which one of the metatarsal bones remains shorter than the rest.


This results in a short toe or floating toe deformity. This commonly affects both feet and the 4th metatarsal is the most commonly affected bone. This condition is caused by an abnormal arrest and closure of the growth plate earlier than the remainder of the metatarsals.

 Symptoms are painful ambulation with or without shoes and cosmetic appearance of the deformity. Pain is due to the abnormal distribution of weight during ambulation since the normal metatarsal parabola is not maintained. The abnormally riding toe can cause irritation with shoe gear. 

Brachymetatarsia surgery is initially conservative with shoe gear modification, custom orthotics, activity modification. These treatments often fail and surgical intervention is necessary. This includes lengthening of the affected metatarsal surgically. A few different techniques can be utilized to address this deformity. The shortened bone is cut and a graft is placed to bring its length out to normal so the parabola is restored. The graft can be an autograft or an allograft. Autografts are harvested from the patient’s own body and incorporation of this graft at the site of the shortened metatarsal is higher. Allografts are cadaver bones and they are utilized as well to avoid donor site morbidity. The graft is secured in place by pains and screws or a uniplanar external fixator is used.

Diagnosis is clinical but X-rays are taken to confirm and assess the degree of shortening. Often CT scans are taken to assess other bony abnormalities.

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Foot And Ankle Treatments In Michigan

For our patient’s convenience, we offer our service for Brachymetatarsia surgery in Adrian, MI, Brachymetatarsia surgery in Ann Arbor, MI, and Hallux rigidus surgery in Jackson, MI locations. We have our own digital x-ray, MRI, Cat-scan, and ultrasound equipment at many of our podiatry clinics. Our on-site podiatric physical therapy clinics allow for constant communication between the physicians and physical therapists, ensuring the most effective therapy and successful recovery for our patients.

Some of the case studies related to Brachymetatarsal are listed below. If you want to learn more about them click on the button below:

  • Heater vs neuropathic foot

    Heater vs neuropathic foot

    66-year-old male diabetic, neuropathic is seen in the office regarding the ulcerations and infections of his left foot.  Patient 2 weeks ago left his foot close to a space heater and has slowly developed these 2 ulcerations. Patient has diabetic neuropathy and did not have any pain or currently does not have any pain.  Treatment…

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  • Ultra Mist Treatment

    Ultra Mist Treatment

    74-year-old female smoker with new onset of chronic ulcerations of her bunion and her 2nd toe. The patient has a history of peripheral arterial disease patient was seen and treated with ultra mist therapy twice a week for 4 weeks and also wound care daily dressing by the patient with collagen care we dispensed in the…

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  • Venous Stasis Ulceration Case Study

    Venous Stasis Ulceration Case Study

    70 y/o female with venous stasis ulceration which failed home care. Initial Visit: 1 Week After Treatment: 1 Month After Treatment: 2 Month After Treatment:

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