Presentation
Midfoot pain following an inversion injury.
Patient Data
Age: 11 years
Gender: Female
From the case:
Cleft epiphysis big toe proximal phalanx
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There is a cleft epiphysis of the big toe proximal phalanx. An accessory ossicle, os tibiale externum, is also seen. Otherwise normal examination.
Case Discussion
A cleft or divided epiphysis is a normal variant most commonly seen at the big toe proximal phalanx and should be differentiated from a fracture. The cleft disappears once growth plate fusion occurs.
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