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Department
of Podiatry
Other
Congenital Deformities
There
is a congenital exostosis on the lateral border of the
head of the distal phalanx of the hallux
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The
distal interphalangeal joint of the fifth toe is congenitally
stenosed. This tends to cause problems with shoe fitting.
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This
congenital deformity of the distal phalanx of the left
hallux (compared here to the contralateral hallux) was
familial (father & grandfather). Note the soft tissue
atrophy. A deformed nail and contracted skin were also
present. Note also the distal cortical feathering - this
with the presence of a small abscess suggested infection,
however biopsy was negative.
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Congenitally
short first metatarsal; predisposes to HAV and hallux rigidis/limitus.
The adduction of the lesser metatarsals has also contributed
to the development of the hallux deformity. A lateral radiograph
view would be useful in this case to determine the length
of the first metatarsal.
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Short
fourth metatarsal; can be associated with pseudohypoparathyroidism,
as well as a number of other aetiologies.
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This
newborn's right leg has several deformities. The femur
has not developed to the same level as that of the left.
The tibia is bowed and the fibula is missing. The foot
is also missing some bones.
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The
second meatarsal is bowed and its head has not formed. The
phalanges of the second and third toes are missing.
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Residual
supernumerary metatarsal and dislocated 5th toe, 7 years
after resection of supernumerary 5th toe and metatarsal.
Many presentations of this type of anomaly exist.
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