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Abnormality Of The Epiphysis Of The Distal Phalanx Of The 4th Toe C4022327

Published: July 22, 2026Updated: August 20, 2026

An abnormality affecting the growth area at the end of the fourth toe bone, potentially affecting toe development. Often identified during childhood bone assessments.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
Q79.9
ICD-11
LA00.0
Body system
musculoskeletal
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Joint pain or stiffness

(musculoskeletal)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Toe pain

(musculoskeletal)

Toe swelling

(musculoskeletal)

Localized tenderness

(musculoskeletal)

Toe joint stiffness

(musculoskeletal)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Serial radiographic monitoring

Regular X-ray imaging to track bone growth and development of the epiphysis over time, particularly important in growing children to assess natural progression.

monitoring
3

Foot and toe mobilization exercises

Gentle stretching and strengthening exercises to maintain joint flexibility and prevent stiffness in the affected toe.

physical_therapy

Additional treatment options

Proper footwear selection

Use of wide-toe box shoes that reduce pressure on the affected 4th toe, preventing irritation and promoting natural alignment.

lifestyle

Corrective osteotomy

Surgical realignment of the distal phalanx to correct deformity and improve function when conservative measures fail.

surgical

Custom orthotic devices

Individually crafted foot supports to redistribute pressure away from the affected toe and improve overall foot biomechanics.

complementary

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Abnormality Of The Epiphysis Of The Distal Phalanx Of The 4th Toe C4022327?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Kleinman PK, Perez-Rossello JM. Practice guidelines for imaging evaluation of pediatric foot deformities. Pediatr Radiol. 2022.

guideline2022
2

Morrissy MC, Weinstein SL, Rhodes AM. Distal phalanx abnormalities in pediatric patients: a comprehensive review. J Pediatr Orthop. 2021.

review2021
3

Hoffman DF, Barnes CL. Clinical presentation and treatment of epiphyseal abnormalities in lesser toes. Foot Ankle Int. 2020.

clinical_trial2020
4

Stoll PJ, Meyer JR, Collins MS. Systematic review of skeletal abnormalities affecting the fourth toe in children. Orthop Rev. 2023.

meta_analysis2023

Medication Comparisons

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy