Abstract
Mirror foot is a rare abnormality which presents as a preaxial, postaxial, or central polydactyly of the foot. The latter is encountered infrequently. We describe the case of a central mirror foot. Our patient had eight digits of a central ray pattern type with fully developed metatarsal, proximal, middle, and distal phalanges, as well as a medial toe syndactyly. He had no tarsal bone duplications. He was treated by central ray resection via double V-shaped incisions on the dorsal and plantar aspects of the foot, while preserving the medial and lateral rays. The results were satisfactory. We describe the technique and attempt a review of the literature.
Highlights
Mirror foot is a rare abnormality associated with polydactyly
We describe the case of a central mirror foot
Is postaxial when the extra ray is on the lateral side of the foot and preaxial (15%) when the polydactyly is on the medial side of the limb [1,2]
Summary
Mirror foot is a rare abnormality associated with polydactyly. Polydactyly is postaxial when the extra ray is on the lateral side of the foot (almost 79% of the time) and preaxial (15%) when the polydactyly is on the medial (tibial) side of the limb [1,2]. Left central ray mirror foot with medial toe syndactyly (white arrow), and two more extra digits (black arrows). XR left central ray mirror foot with eight digits portraying fully developed metatarsal (white arrow), proximal, middle, and distal phalanges (green arrows), except for the fourth toe from the medial side which appeared to be missing a middle phalanx (pink arrows) and had a dysplastic metatarsal (blue arrow), in comparison to the rest (white arrow). This digit was similar to a great toe. Two-year follow-up XR where a mild widening of the middle foot is apparent
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