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  • Photo of foot with shortened fourth toe
  • X-ray of foot with shortened fourth toe

What is brachymetatarsia?

Brachymetatarsia is a condition that can affect the metatarsal bones of the foot. The most common location is the fourth metatarsal. It is more common in women. This condition can affect either both feet, or just one foot. When looking at the foot, the affected toe looks short.

What are the symptoms of brachymetatarsia?

Pain can occur from walking on the bottom of the feet due to abnormal weight distribution on the front of the foot. Also, the short toe often rides high and rubs on the top of the shoe. Patients can complain of callus development on the bottom of the foot. Cosmetically, the condition can be a source of embarrassment for certain individuals. Many people with brachymetatarsia avoid going to the pool and beach or wearing flip flops and open sandals.

What is the treatment of brachymetatarsia?

Surgical intervention is designed to lengthen the metatarsal bone to a normal length by means of an osteotomy (breaking of bone) and either gradual or acute lengthening. Gradual lengthening involves the use of a miniature external fixator that will stretch/lengthen the bone and its associated soft tissues over 3-6 weeks, until the desired length has been achieved. Acute lengthening is a single stage operation that will allow the surgeon to lengthen the bone in one procedure creating a space between the bone ends which is filled with bone graft harvested from the patient.

Why come to the International Center for Limb Lengthening for treatment of brachymetatarsia?

With a collective experience of over thirty years of helping patients with lower leg, foot and ankle problems, the Foot and Ankle Service of the Rubin Institute is one of the leading treatment centers for foot and ankle conditions in the United States. Your doctor will take the time to make sure you understand all of your options and then will customize your treatment to meet your specific needs. Our patients benefit from our team-centered approach with world-renowned surgeons and specialized physician assistants, nurses and physical therapists. We help patients with brachymetatarsia achieve their best possible result.

Doctors Who Treat Brachymetatarsia