Foot and Ankle Alliance - Foot Doctor (Podiatrist)

FOOT & ANKLE ALLIANCE
Diseases & Surgery of the Foot & Ankle
Lower Limb Deformity Specialist

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Brachymetatarsia

Brachymetatarsia

Brachymetatarsia is a condition in which one of the five long bones of the foot (the metatarsals) is abnormally short, resulting in a shortened toe. This condition usually occurs in both feet (i.e., bilaterally) and in the fourth toe. If it affects more than one toe, the condition is called brachymetapody.

Causes
The most common cause of brachymetatarsia is when the growth plate of the bone stops growing too soon. This may be caused from trauma, infection or a genetic predisposition.

Symptoms
During Walking, The weight is normally distributed from the 5th toe to the 4th and so on until it reaches the 1st toe ( big toe). The weight and pressure gets distributed and transfered across the ball of the foot evenly. An abnormally short Metatarsal will disrupt this process . If there is a short 3rd metatarsal , this means that the weight goes from 5th to 4th and these to bones bear more weight than usual causing the pain and discomfort.

Treatment
The treatment for brachymetatarsia is very limmited. Conservative treatment includes shoe modification ( more room in the toe box area) . Padding of the shoe to releive pain in the high pressure area . Orthosis may be used to distribute the weigh to other bones.

Surgical treatment is performed to lengthen the bone to its ideal lenght. This is done by surgically cutting the bone and either:

1. Grafting a bone between the two ends
2.Putting a device on the bone to lengthen the bone gradualy ( my preferred method).

I like the lengthening method because it give the surgeon more control of how much you can lengthen the bone. I usually have the patient lenghten the bone 1/2 mm a day which is done by turning a screw at home ( this process is totally pain free).

Problem with method #1: If the bone needs significant lengthening and the surgeon tries to graft a bone that is too long ,the tendons, arteries and veins might not cooperate and results can be loosing the blood supply to the bone and eventualy loosing the toe.

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Dr. Khosroabady is a fellowship trained foot ankle specialist. He is a graduate of NY College of Podiatric Medicine and completed a fellowship training at the Rubin Institute for Advanced Orthopedics in Sinai Hospital Baltimore Maryland..

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© 2011 Foot and Ankle Alliance | Alireza Khosoabady DPM | 622 W. Duarte Rd. #303 Arcadia, CA 91007 | Foot Doctor (Podiatrist) Arcadia - Los Angeles
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At Foot and Ankle Alliance we specialize in Foot and Ankle Care and Treatment. Podiatrist (Foot Doctor) in the Los Angeles area.
feet and ankles.We have an office in Arcadia, Van Nuys, and Century City in Los Angeles, CA offering the best care for your feet and ankles.
Arcadia Podiatrist - near Glendale, Pasadena, Monrovia, Temple City, Azuza, Baldwin Park, West Covina, Ontario and Glendora.
ARCADIA OFFICE - 622 W. Duarte Rd. #303 Arcadia, CA 91007 Tel: (626) 447-2184
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Located in San Fernando, CA near Mission Hills, Granada Hills, Arleta and Sylmar.