Brachymetatarsal is due to a congenital event or trauma to the growth plate which causes an abnormally short or overlapping toe/metatarsal. This condition usually involves the fourth metatarsal and is correctable through surgery.
Toes that are abnormal in length and position are commonly associated with pain and embarrassment. Patient’s with short toes tend to hide their feet and avoid being barefoot. The fourth toe usually sits higher up on the foot and can get irritated in shoes. Also, the weight distribution to the ball of the foot is not balanced and can cause pain and calluses.
Conservative care consist of wearing wider shoes with an arch support, modify activity, custom molded orthotics, and stretching shoes. Permanent solutions consist of surgery, when the metatarsal is lengthened through external fixation, bone graft or a sliding bone cut. Lengthening the metatarsal will help re-align the parabola of the metatarsal head and re-distribute the pressure. Conditions like these fit our exact motto: walk with comfort and look great doing it.