title: Longitudinal bracketed epiphysis of proximal phalanx of the great toe with congenital hallux varus managed simultaneously with monorail external fixator: a case report.
abstract: Longitudinal bracketed epiphysis (delta phalanx) is a rare congenital anomaly that affects phalanges in the hand more commonly than toes. We present a rare case of congenital hallux varus with longitudinal bracketed epiphysis of proximal phalanx with bifid distal phalanx of the great toe, which was managed with monorail type of external fixator. To the best of our knowledge, this is the first report of its successful implementation in simultaneous treatment of longitudinal bracketed epiphysis of the proximal phalanx of the great toe and hallux varus. Apart from adding to the literature a case of rare subtype of delta phalanx with hallux varus, the present study highlights the role of a reliable alternative in its management.
authors.affiliation: Department of Orthopedics, Pt B. D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
authors.forename: Vineet
authors.initials: V
authors.lastname: Verma
authors.forename: Amit
authors.initials: A
authors.lastname: Batra
authors.forename: Rohit
authors.initials: R
authors.lastname: Singla
authors.forename: Paritosh
authors.initials: P
authors.lastname: Gogna
authors.forename: Narender
authors.initials: N
authors.lastname: Magu
authors.forename: Rakesh
authors.initials: R
authors.lastname: Gupta
mesh_terms: D002648:Child; D004838:Epiphyses / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D016267:External Fixators; D005260:Female; D006214:Hallux / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D050488:Hallux Varus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D011859:Radiography; D050277:Toe Phalanges / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: delta phalanx; distraction; duplication; great toe; hallux varus; osteotomy