Congenital Brachymetatarsia

Topics: Foot, Morton's toe, Hallux Pages: 4 (670 words) Published: February 17, 2014
Open Access Publication

Congenital Bilateral First Brachymetatarsia:
A Case Report and Review of Available Conservative and
Surgical Treatment Options
by Mark J. Mendeszoon, DPM, FACFAS, FACFAOM 1 , Yelena L. Kaplan, DPM 2 Robert S Crockett, DPM 3 , Natalie Cunningham, DPM 4


The Foot and Ankle Online Journal 2 (9): 1
Synonyms of first metatarsal brachymetatarsia include metatarsus primus atavicus, metatarsus primus brevis, metatarsus primus brevis varus syndrome, pied ancestral (French), pied de Neanderthal (French), short first metatarsal syndrome and Morton's syndrome (Dudley Joy Morton). Brachymetatarsia is a condition in which the metatarsal physis closes prematurely yielding a pathologically shortened metatarsal length. The podiatric and orthopedic literature mostly agree that the most common metatarsals to be affected are the fourth and third, although any of the five metatarsals can be affected. The etiology of this condition can be genetic or idiopathic, with strong female to male predilection. Presentation of first brachymetatarsia is far less common than that of third or fourth metatarsals. Management of this condition can present as a challenge to the foot and ankle surgeon. This case report will review the present conservative and surgical treatment options. Key Words: Brachymetatarsia, Morton's syndrome, Hallux varus, metatarsus primus atavicus, metatarsus primus brevis, metatarsus primus brevis varus syndrome, short first metatarsal syndrome. Accepted: July, 2009

Published: September, 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution License. It permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ©The Foot and Ankle Online Journal (


rachymetatarsia of the first metatarsal is also
known as "Morton's syndrome".1 Tachdjian
reported that first metatarsal is the most
commonly affected metatarsal,...
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