Brachymetatarsia is a congenital condition that results in a short metatarsal. the 4th metatarsal is the most commonly involved. It causes imbalance in weight redistribution across the metatarsal and therefore causes pain.

When that happens, patients usually complains of callus formation at the adjacent metatarsal (s). The cosmetic appearance of the toe affiliated with the metatarsal involved, more often, brings people to see a specialist.

The metatarsal can regain its proper length by two different ways. first, a graft can be placed within the short bone, or the bone can be lengthened by callus distraction.
The intercalation of  a piece of bone, while has its advantages, can have serious pitfalls like avascular necrosis, non-union, graft displacement, etc.
It is now widely accepted that callus distraction is a safer procedure for lengthening of a short metatarsal. the procedure is done by osteomizing the bone and slowly distract it with a small external fixator.For more information visit us at  or call our office at 239-689-5130.

Job Timeny, DPM
in Limb Lengthening and Limb Deformity Correction
Foot and Ankle Surgeon