The Prevalence of Bunions in the Setting of Brachymetatarsia

Brachymetatarsia is caused by premature closure of the physis and is characterized by a short metatarsal. Additional foot conditions may exist in patients presenting with brachymetatarsia, such as hallux valgus (HV). A retrospective study was performed to evaluate the prevalence of HV and brachymeta...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2023-05, Vol.62 (3), p.498-500
Main Authors: Thomas, Michael A., Siddiqui, Noman A., Millonig, Kelsey J., Siddiqui, Yumna, Charles, Cassandre, Khan, Bilal M.
Format: Article
Language:English
Subjects:
Adult
Bunion
distraction
external fixator
Female
Foot Deformities, Congenital - diagnostic imaging
Foot Deformities, Congenital - epidemiology
Foot Deformities, Congenital - surgery
gradual correction
hallux valgus
Hallux Valgus - diagnostic imaging
Hallux Valgus - epidemiology
Hallux Valgus - surgery
Humans
lengthening
Male
Metatarsal Bones - abnormalities
Metatarsal Bones - diagnostic imaging
Metatarsal Bones - surgery
Osteogenesis, Distraction - methods
Prevalence
Retrospective Studies
shortened metatarsal
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Summary:Brachymetatarsia is caused by premature closure of the physis and is characterized by a short metatarsal. Additional foot conditions may exist in patients presenting with brachymetatarsia, such as hallux valgus (HV). A retrospective study was performed to evaluate the prevalence of HV and brachymetatarsia in the ipsilateral foot. Ninety-seven feet with congenital brachymetatarsia were reviewed in a multi-study cohort of 66 patients who underwent surgical correction between January 2005 and August 2020 at a single institution. The group was comprised of 61 females and 5 males, with a mean age of 27 years. HV deformities were verified with standardized anteroposterior radiographs. HV was present in 29 of 97 feet for a prevalence of 30% in the feet with brachymetatarsia. Our results demonstrate a 30% prevalence of HV associated with brachymetatarsia. This information is helpful for foot and ankle surgeons managing brachymetatarsia to determine appropriate conservative or surgical management of this condition.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2022.12.002