Occasionally, it’s worthwhile to examine some of the more uncommon foot and ankle problems. One example? Brachymetatarsia, a rare foot disorder in which one of the metatarsal bones in the foot is abnormally short, causing the affected toe to appear shorter than the others. For this blog, Advanced Foot Care of NJ will explain how to spot brachymetatarsia, what can prevent it from worsening, and which treatment options provide the most relief.

What is Brachymetatarsia?

This condition, which most commonly affects the fourth metatarsal, can be present at birth or develop during growth, leading to misalignment and discomfort as the foot matures.

Brachymetatarsia occurs when the growth plate of a metatarsal bone closes prematurely, halting its development while the other metatarsals continue to grow.
The result is a shortened toe, often causing overlapping or crowding of the adjacent toes.
Ensuing problems include pain, difficulty in walking, and self-consciousness due to the appearance of the foot.

Managing Brachymetatarsia

Since we’re dealing with a growth defect often stemming from genetic predisposition or trauma, prevention isn’t really an option. Management, however, can make a significant difference.

Management typically involves early detection and monitoring of foot development, especially in children with a family history of the condition.
Regular check-ups with a podiatrist can help identify any growth abnormalities early, allowing for timely intervention.
Wearing proper footwear that supports natural foot growth is also essential.

Treating Brachymetatarsia

The primary treatment for brachymetatarsia is surgical intervention.

Bone Lengthening (Distraction Osteogenesis) involves gradually lengthening the short metatarsal bone using an external fixator. Over time, new bone forms in the gap, extending the length of the metatarsal to match the others.
Bone Grafting involves the insertion of a bone graft to lengthen the metatarsal. This method is often faster than bone lengthening but may require a more extended recovery period.

If you suspect you have brachymetatarsia, schedule a consultation with a podiatrist today. As always, early diagnosis and treatment can significantly improve your quality of life.

At Advanced Foot Care of NJ, LLC, our doctor and staff look forward to resolving all of your family’s podiatric healthcare needs. We proudly serve the communities of Little Falls, Cedar Grove, Verona, Stoney Road, Sandy Hill, Albion Place, and Great Notch. Contact us today to schedule an appointment!