Multiple metatarsal neck fractures were complicated by nonunion and growth arrest in this 11-year-old boy. A) Initial x-ray shows fractures of the second, third, and fourth metatarsals with dorsal displacement. B) Patient was treated in a molded short-leg cast. Early remodeling is evident after cast removal. C) At 4.5 years after injury, the patient has growth arrest of the second metatarsal with shortening, hallux valgus, and clawing of the second toe. D) Clinical appearance.
Reproduced with permission from: Jarvis JG, Moroz PJ. Fractures and Dislocations of the Foot. In: Rockwood and Wilkins' Fractures in Children, 6th ed, Beaty JH, Kasser JR (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Copyright © 2006 Lippincott Williams & Wilkins.
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