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Observation
45%
215/482
Excision of the abnormal structure
41%
198/482
Lengthening of the metatarsal with external fixation
7%
33/482
Ray resection
6%
28/482
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The oblique radiograph shows a well-formed congenital longitudinal epiphyseal bracket. Excision of the bracket leads to decreased deformity and improves the potential for longitudinal growth. Observation alone will lead to the relative shortening of the first metatarsal and medial deviation of the hallux. Metatarsal lengthening can be considered if resection does not lead to sufficient growth. Ray resection is not necessary.
2.2
(12)
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