This case is an example of longitudinal epiphyseal bracket also known as bracket epiphysis or delta phalanx. It is an uncommon growth disorder due to the presence of an anomalous secondary ossification center that extends longitudinally along the diaphysis. Although rare, longitudinal epiphyseal bracket most commonly manifests in the hands as clinodactyly and in the feet as hallux varus.

This patient was treated with bilateral resection of the "bracket epiphysis" with fat grafting to the resection bed in the first metatarsal bilaterally.