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Absent fifth metatarsal

MedGen UID:
357383
•Concept ID:
C1867932
•
Finding
Synonym: Absent 5th metatarsals
 
HPO: HP:0008079

Definition

A developmental abnormality characterized by the absence of the fifth metatarsal bone. [from HPO]

Conditions with this feature

Postaxial tetramelic oligodactyly
MedGen UID:
357380
•Concept ID:
C1867924
•
Congenital Abnormality
A rare genetic congenital limb malformation disorder with characteristics of isolated, postaxial oligodactyly in all four extremities. Patients present a consistent pattern of malformation ranging from complete absence of the 5th metacarpals, metatarsals and phalanges to complete absence of the 5th metacarpals and metatarsals, with some residual distal 5th phalanges. There have been no further descriptions in the literature since 1993.
See: Condition Record
Postaxial tetramelic oligodactyly

Recent clinical studies

Etiology

Predicting the risk of future diabetic foot ulcer occurrence: a prospective cohort study of patients with diabetes in Tanzania.
Naemi R, Chockalingam N, Lutale JK, Abbas ZG
BMJ Open Diabetes Res Care 2020 May;8(1) doi: 10.1136/bmjdrc-2019-001122. PMID: 32371531Free PMC Article
Combination joint-preserving surgery for forefoot deformity in patients with rheumatoid arthritis.
Niki H, Hirano T, Okada H, Beppu M
J Bone Joint Surg Br 2010 Mar;92(3):380-6. doi: 10.1302/0301-620X.92B3.23186. PMID: 20190309
The acquired midtarsus deformity classification system--interobserver reliability and intraobserver reproducibility.
Schon LC, Easley ME, Cohen I, Lam PW, Badekas A, Anderson CD
Foot Ankle Int 2002 Jan;23(1):30-6. doi: 10.1177/107110070202300106. PMID: 11826874
The anatomy of a congenitally short limb with clubfoot and ectrodactyly.
Hootnick DR, Packard DS Jr, Levinsohn EM, Lebowitz MR, Lubicky JP
Teratology 1984 Apr;29(2):155-64. doi: 10.1002/tera.1420290202. PMID: 6740502

Diagnosis

Predicting the risk of future diabetic foot ulcer occurrence: a prospective cohort study of patients with diabetes in Tanzania.
Naemi R, Chockalingam N, Lutale JK, Abbas ZG
BMJ Open Diabetes Res Care 2020 May;8(1) doi: 10.1136/bmjdrc-2019-001122. PMID: 32371531Free PMC Article
The Nature of Foot Ray Deficiency in Congenital Fibular Deficiency.
Reyes BA, Birch JG, Hootnick DR, Cherkashin AM, Samchukov ML
J Pediatr Orthop 2017 Jul/Aug;37(5):332-337. doi: 10.1097/BPO.0000000000000646. PMID: 26356313
Effectiveness of Semmes-Weinstein monofilament examination for diabetic peripheral neuropathy screening.
Kamei N, Yamane K, Nakanishi S, Yamashita Y, Tamura T, Ohshita K, Watanabe H, Fujikawa R, Okubo M, Kohno N
J Diabetes Complications 2005 Jan-Feb;19(1):47-53. doi: 10.1016/j.jdiacomp.2003.12.006. PMID: 15642490
The acquired midtarsus deformity classification system--interobserver reliability and intraobserver reproducibility.
Schon LC, Easley ME, Cohen I, Lam PW, Badekas A, Anderson CD
Foot Ankle Int 2002 Jan;23(1):30-6. doi: 10.1177/107110070202300106. PMID: 11826874
Somatosensory evoked potentials from dermatomal stimulation as an indicator of L5 and S1 radiculopathy.
Rodriquez AA, Kanis L, Rodriquez AA, Lane D
Arch Phys Med Rehabil 1987 Jun;68(6):366-8. PMID: 3036037

Therapy

Effectiveness of Semmes-Weinstein monofilament examination for diabetic peripheral neuropathy screening.
Kamei N, Yamane K, Nakanishi S, Yamashita Y, Tamura T, Ohshita K, Watanabe H, Fujikawa R, Okubo M, Kohno N
J Diabetes Complications 2005 Jan-Feb;19(1):47-53. doi: 10.1016/j.jdiacomp.2003.12.006. PMID: 15642490

Prognosis

Predicting the risk of future diabetic foot ulcer occurrence: a prospective cohort study of patients with diabetes in Tanzania.
Naemi R, Chockalingam N, Lutale JK, Abbas ZG
BMJ Open Diabetes Res Care 2020 May;8(1) doi: 10.1136/bmjdrc-2019-001122. PMID: 32371531Free PMC Article
The Nature of Foot Ray Deficiency in Congenital Fibular Deficiency.
Reyes BA, Birch JG, Hootnick DR, Cherkashin AM, Samchukov ML
J Pediatr Orthop 2017 Jul/Aug;37(5):332-337. doi: 10.1097/BPO.0000000000000646. PMID: 26356313
Clinical and molecular analysis of Grebe acromesomelic dysplasia in an Omani family.
Al-Yahyaee SA, Al-Kindi MN, Habbal O, Kumar DS
Am J Med Genet A 2003 Aug 15;121A(1):9-14. doi: 10.1002/ajmg.a.20256. PMID: 12900894
The acquired midtarsus deformity classification system--interobserver reliability and intraobserver reproducibility.
Schon LC, Easley ME, Cohen I, Lam PW, Badekas A, Anderson CD
Foot Ankle Int 2002 Jan;23(1):30-6. doi: 10.1177/107110070202300106. PMID: 11826874
Fifth metatarsal morphology does not predict presence or absence of fibularis tertius muscle in hominids.
Eliot DJ, Jungers WL
J Hum Evol 2000 Feb;38(2):333-42. doi: 10.1006/jhev.1999.0337. PMID: 10656782

Clinical prediction guides

Predicting the risk of future diabetic foot ulcer occurrence: a prospective cohort study of patients with diabetes in Tanzania.
Naemi R, Chockalingam N, Lutale JK, Abbas ZG
BMJ Open Diabetes Res Care 2020 May;8(1) doi: 10.1136/bmjdrc-2019-001122. PMID: 32371531Free PMC Article
Long-term outcome of joint-preserving surgery by combination metatarsal osteotomies for shortening for forefoot deformity in patients with rheumatoid arthritis.
Niki H, Hirano T, Akiyama Y, Mitsui H, Fujiya H
Mod Rheumatol 2015 Sep;25(5):683-8. Epub 2015 Jun 5 doi: 10.3109/14397595.2015.1008672. PMID: 25608049
Combination joint-preserving surgery for forefoot deformity in patients with rheumatoid arthritis.
Niki H, Hirano T, Okada H, Beppu M
J Bone Joint Surg Br 2010 Mar;92(3):380-6. doi: 10.1302/0301-620X.92B3.23186. PMID: 20190309
The acquired midtarsus deformity classification system--interobserver reliability and intraobserver reproducibility.
Schon LC, Easley ME, Cohen I, Lam PW, Badekas A, Anderson CD
Foot Ankle Int 2002 Jan;23(1):30-6. doi: 10.1177/107110070202300106. PMID: 11826874
Fifth metatarsal morphology does not predict presence or absence of fibularis tertius muscle in hominids.
Eliot DJ, Jungers WL
J Hum Evol 2000 Feb;38(2):333-42. doi: 10.1006/jhev.1999.0337. PMID: 10656782

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