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Ilan Cohen, MD; Aaron Chechick, MD; Michael Heim, MB, ChB
From the Foot and Ankle Service, the Orthopaedic Department, Sheba Medical Center, Tel-Hashomer, Israel.

Arch Pediatr Adolesc Med. 2000;154:1163-1164.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 19-YEAR-OLD teenager had a painless deformity on his right forefoot that developed slowly for 4 years when it began to interfere with shoe wearing, causing him to seek medical attention. On physical examination the right forefoot displayed some splaying with an unusually large second web space (Figure 1). Palpation revealed prominence of bony consistency between the bases of the second and third toes. Flexibility and mobility of the toes were normal, and no accompanying neurological signs were present. There was no other apparent deformity in the feet or body, and no family history of congenital or developmental skeletal deformities. Plain x-ray films show a bony outgrowth originating from the metaphysis of the proximal phalanx of the third toe on its medial (tibial) side, pushing the adjacent second toe away from its normal alignment into a varus position . . . [Full Text of this Article]