New X-Ray Case: Brachymetatarsia in a 13-Year-Old Female Patient

An addition to the collection of educational X-ray cases – brachymetatarsia in a young female patient.

To download, go to X-RAY IMAGES DATABASE and scroll to Item 23

Brachymetatarsia is a rare congenital or acquired condition characterized by the shortening of one or more metatarsal bones in the foot. In this case, the 13-year-old female patient presented with bilateral brachymetatarsia, with the 3rd and 4th metatarsals affected on the left foot, and the 4th metatarsal affected on the right.

This condition is typically caused by the premature closure of the metatarsal growth plates, resulting in the shortening of the affected bones. Brachymetatarsia is more commonly seen in female patients and can often be an incidental finding, as was the case with our patient, who was undergoing a trauma workup after a pedestrian-vehicle accident.

Let’s take a closer look at the X-ray findings in this case:

Frontal View: The frontal view demonstrates the shortened 3rd and 4th metatarsals on the left foot, as well as the shortened 4th metatarsal on the right foot. The bones appear otherwise normal, with no acute post-traumatic abnormalities.

Oblique View: The oblique view provides additional visualization of the shortened metatarsals, confirming the characteristic appearance of brachymetatarsia.

Lateral View: The lateral view further highlights the reduced length of the affected metatarsals, particularly the 4th metatarsal on both feet.

While brachymetatarsia is often asymptomatic and presented for cosmetic concerns, in some cases, it can lead to pain, difficulty walking, and discomfort in the affected foot. Treatment options may include using orthotics, shoe modifications, or surgical intervention to correct the deformity and alleviate symptoms in severe cases.

This case serves as an excellent example of the radiographic findings associated with brachymetatarsia, a condition that all healthcare professionals should be familiar with when evaluating foot and ankle pathologies. By understanding the characteristic imaging features, you ensure accurate diagnosis and appropriate management for patients with this condition.

To download, go to X-RAY IMAGES DATABASE and scroll to Item 23

Stay tuned for more exciting case studies and educational content from our team of radiologists and clinicians. We’re committed to sharing our expertise and helping enhance healthcare providers’ knowledge and skills worldwide.

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