VIMS Journal: December 2017

Pictorial CME

Name The Clinical Sign


Brachymetatarsia (congenital short metatarsus) is a rare condition that develops from early closure of the growth plate.
Females are commonly affected
It typically involves the fourth meta tarsal bone (as seen in the picture) or, less frequently, more than one metatarsal bone.

Associations :
Brachymetatarsia may be found in several genetic conditions and syndromes which include.

-- aneuploidic anomalies
- trisomy 21
- monosomy X / Turner syndrome

-- non-aneuoploidic anomalies
- pseudohypoparathyroidism
- pseudopseudohypoparathyroidism
- Albright syndrome
- diastrophic dysplasia

Treatment and prognosis :
In most cases there is no harm if left untreated but there are several types of lengthening procedures which can be performed.

Courtsy by :
Dr. Debasish Maji
Prof., Dept. of Medicine


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