J Korean Foot Ankle Soc.  2010 Dec;14(2):186-189.

Operative Treatment of the Bilateral Multiple Rays Brachymetatarsia using Callotasis (A Case Report)

• Kwon SW
• Park KH
• Soh JW

Abstract

Among congenital brachymetatarsias fourth metatarsal bone shortening is most common form and unusually involves multiple metatarsal bones. We report a case of the patient with bilateral 1st and 4th multiple rays brachymetatarsia treated with callostasis. Twenty eight months after procedure, right side showed 1st metatarsal lengthening about 11.5 mm (29.23%) and 4th metatarsal 17.86 mm (35.87%). Twenty one months later, left side showed 1st metatarsal lengthening about 14.58 mm (36.8%) and 4th metatarsal 20.52 mm (43.01%). In healing index right side showed 1st metatarsal 3.4 month/cm, 4th metatarsal 2.5 month/cm and left side showed 1st metatarsal 4.2 month/cm, 4th metatarsal 2.3 month/cm. Final follow-up results presented excellent outcome in cosmetic problem, easy wear of shoes, and measurement of patient's self satisfaction.

Keyword

Multiple rays brachymetatarsia; Callostasis

MeSH Terms

Cosmetics
Follow-Up Studies
Humans
Metatarsal Bones
Osteogenesis, Distraction
Shoes
Cosmetics