Cleft epiphysis

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Left forefoot pain when walking.

Patient Data

Age: 13 years
Gender: Female
x-ray

Left great toe proximal phalanx cleft epiphysis.  Normal examination.

Case Discussion

There is a left sided cleft epiphysis which is a normal developmental variant and should not be misdiagnosed as a fracture in the setting of trauma.

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