{"id":6125,"date":"2016-10-13T08:17:38","date_gmt":"2016-10-13T08:17:38","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/en\/?p=6125"},"modified":"2016-10-18T10:38:25","modified_gmt":"2016-10-18T10:38:25","slug":"the-brachymetatarsia","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/en\/the-brachymetatarsia\/","title":{"rendered":"THE BRACHYMETATARSIA"},"content":{"rendered":"<p>The main feature of the brachymetatarsia or also called hypoplastic metatarsus is the abnormal shortening of one or several metatarsi. Visually, you can watch one or several toes shorter than the others and it can show a raising with respect to the other toes.<\/p>\n<p>It is usually more frequent in women than in men and their causes may be congenital, related to some syndromes like the Apert\u2019s syndrome, Turner\u2019s syndrome, Aarskog-Scott syndrome or also may be acquired (traumatic in the age of puberty or iatrogenic).<\/p>\n<p>The cause is basically genetic because of the premature closing of the bone development nucleus.<\/p>\n<p>It affects mainly the fourth toe and in a bilateral way to both feet. When the shortening affects more than one toe is called brachymetapody.<\/p>\n<p>Basically, the brachymetatarsia has three problems:<\/p>\n<ul>\n<li>The appearance to some people will be conditional to some kind of activity or the use of sandals in summer because of the anguish to social rejection.<\/li>\n<li>Metatarsalgias, due to the abnormal shortening of a metatarsal with respect to the others, may cause a burden transfer to the rest of metatarsals, causing in this way plantar pain because of resting wrongly.<\/li>\n<li>Pain in the dorsum of the affected toe due to the pressure against the shoe by its higher position with respect to the rest of the digits.<\/li>\n<\/ul>\n<p>In brachymetatarsias the conservative treatments are the most usual. These treatments consist of anatomical shoes and orthopedic templates with the purpose of rebalancing the plantar burdens and the biomechanics of the foot.<\/p>\n<p>The surgical treatment can be practiced to young patients which aim is to give back the suitable length to the metatarsal through an osseous self-graft or an artificial self-graft. Other surgical techniques use external or internal fixations which elongate the bone progressively in a period of time.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_6066\" style=\"width: 701px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6066\" class=\"wp-image-6066 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1173-braquimetatarsia-foto-1.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"691\" height=\"461\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1173-braquimetatarsia-foto-1.jpg 691w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1173-braquimetatarsia-foto-1-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1173-braquimetatarsia-foto-1-450x300.jpg 450w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><p id=\"caption-attachment-6066\" class=\"wp-caption-text\">Bilateral fourth toe brachymetatarsia.<\/p><\/div>\n<div id=\"attachment_6067\" style=\"width: 701px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6067\" class=\"wp-image-6067 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1174-braquimetatarsia-foto-2.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"691\" height=\"461\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1174-braquimetatarsia-foto-2.jpg 691w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1174-braquimetatarsia-foto-2-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1174-braquimetatarsia-foto-2-450x300.jpg 450w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><p id=\"caption-attachment-6067\" class=\"wp-caption-text\">View of plantar footstep affected by brachymetatarsia.<\/p><\/div>\n<div id=\"attachment_6068\" style=\"width: 701px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6068\" class=\"wp-image-6068 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_2356-braquimetatarsia-foto-3.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"691\" height=\"461\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_2356-braquimetatarsia-foto-3.jpg 691w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_2356-braquimetatarsia-foto-3-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_2356-braquimetatarsia-foto-3-450x300.jpg 450w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><p id=\"caption-attachment-6068\" class=\"wp-caption-text\">Brachymetatarsia of second toe.<\/p><\/div>\n<div id=\"attachment_6070\" style=\"width: 665px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6070\" class=\"wp-image-6070 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P2213990-braquimetatarsia-footo-4.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"655\" height=\"491\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P2213990-braquimetatarsia-footo-4.jpg 655w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P2213990-braquimetatarsia-footo-4-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P2213990-braquimetatarsia-footo-4-450x337.jpg 450w\" sizes=\"auto, (max-width: 655px) 100vw, 655px\" \/><p id=\"caption-attachment-6070\" class=\"wp-caption-text\">Brachymetatarsia of fourth toe Pediatric foot.<\/p><\/div>\n<div id=\"attachment_6071\" style=\"width: 650px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6071\" class=\"wp-image-6071 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/PA082935-braquimetatarsia-foto-5.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"640\" height=\"480\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/PA082935-braquimetatarsia-foto-5.jpg 640w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/PA082935-braquimetatarsia-foto-5-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/PA082935-braquimetatarsia-foto-5-450x338.jpg 450w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><p id=\"caption-attachment-6071\" class=\"wp-caption-text\">Brachymetatarsia of third toe.<\/p><\/div>\n<div id=\"attachment_6069\" style=\"width: 744px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6069\" class=\"wp-image-6069 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04276-braquimetatarsia-foto-6.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"734\" height=\"550\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04276-braquimetatarsia-foto-6.jpg 734w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04276-braquimetatarsia-foto-6-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04276-braquimetatarsia-foto-6-705x528.jpg 705w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04276-braquimetatarsia-foto-6-450x337.jpg 450w\" sizes=\"auto, (max-width: 734px) 100vw, 734px\" \/><p id=\"caption-attachment-6069\" class=\"wp-caption-text\">Brachymetatarsia of burden fourth toe.<\/p><\/div>\n<div id=\"attachment_6073\" style=\"width: 744px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6073\" class=\"wp-image-6073 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04278-braquimetatarsia-foto-7.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"734\" height=\"550\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04278-braquimetatarsia-foto-7.jpg 734w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04278-braquimetatarsia-foto-7-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04278-braquimetatarsia-foto-7-705x528.jpg 705w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC04278-braquimetatarsia-foto-7-450x337.jpg 450w\" sizes=\"auto, (max-width: 734px) 100vw, 734px\" \/><p id=\"caption-attachment-6073\" class=\"wp-caption-text\">Brachymetatarsia of fourth toe.<\/p><\/div>\n<div id=\"attachment_6075\" style=\"width: 665px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6075\" class=\"wp-image-6075 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P3014043-braquimetatarsia-foto-8.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"655\" height=\"491\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P3014043-braquimetatarsia-foto-8.jpg 655w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P3014043-braquimetatarsia-foto-8-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/P3014043-braquimetatarsia-foto-8-450x337.jpg 450w\" sizes=\"auto, (max-width: 655px) 100vw, 655px\" \/><p id=\"caption-attachment-6075\" class=\"wp-caption-text\">Brachymetatarsia of burden second toe.<\/p><\/div>\n<div id=\"attachment_6074\" style=\"width: 744px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6074\" class=\"wp-image-6074 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC06995-braquimetatarsia-foto-9.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"734\" height=\"550\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC06995-braquimetatarsia-foto-9.jpg 734w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC06995-braquimetatarsia-foto-9-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC06995-braquimetatarsia-foto-9-705x528.jpg 705w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC06995-braquimetatarsia-foto-9-450x337.jpg 450w\" sizes=\"auto, (max-width: 734px) 100vw, 734px\" \/><p id=\"caption-attachment-6074\" class=\"wp-caption-text\">Brachymetatarsia of fourth toe.<\/p><\/div>\n<div id=\"attachment_6072\" style=\"width: 701px\" class=\"wp-caption alignnone\"><img  title=\"THE BRACHYMETATARSIA\" loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6072\" class=\"wp-image-6072 size-full\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1178-braquimetatarsia-foto-10.jpg\"  alt=\"THE BRACHYMETATARSIA\"  width=\"691\" height=\"461\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1178-braquimetatarsia-foto-10.jpg 691w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1178-braquimetatarsia-foto-10-351x234.jpg 351w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1178-braquimetatarsia-foto-10-450x300.jpg 450w\" sizes=\"auto, (max-width: 691px) 100vw, 691px\" \/><p id=\"caption-attachment-6072\" class=\"wp-caption-text\">Brachymetatarsia of fourth toe.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The main feature of the brachymetatarsia or also called hypoplastic metatarsus is the abnormal shortening of one or several metatarsi. Visually, you can watch one or several toes shorter than the others and it can show a raising with respect to the other toes. It is usually more frequent in women than in men and [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":6072,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[344,298,304],"tags":[],"class_list":["post-6125","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-icp-en","category-news","category-pathology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>THE BRACHYMETATARSIA - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"THE BRACHYMETATARSIA - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"The main feature of the brachymetatarsia or also called hypoplastic metatarsus is the abnormal shortening of one or several metatarsi. Visually, you can watch one or several toes shorter than the others and it can show a raising with respect to the other toes. It is usually more frequent in women than in men and [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/en\/the-brachymetatarsia\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-10-13T08:17:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-18T10:38:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2016\/09\/DSC_1178-braquimetatarsia-foto-10.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"691\" \/>\n\t<meta property=\"og:image:height\" content=\"461\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"THE BRACHYMETATARSIA\",\"datePublished\":\"2016-10-13T08:17:38+00:00\",\"dateModified\":\"2016-10-18T10:38:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/\"},\"wordCount\":420,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2016\\\/09\\\/DSC_1178-braquimetatarsia-foto-10.jpg\",\"articleSection\":[\"ICP\",\"News\",\"Pathology\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/the-brachymetatarsia\\\/\",\"name\":\"THE BRACHYMETATARSIA - 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