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Abnormality Of The Epiphysis Of The Middle Phalanx Of The 4th Toe C4022326

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

An abnormality affecting the growth plate of a toe bone (middle phalanx of the 4th toe). Usually seen in children. Often managed with observation.

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
mild
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Joint pain or stiffness

(musculoskeletal)

Mild symptoms that may not significantly impact daily life.

Frequency: Common at all stages

Localized toe pain

(musculoskeletal)

4th toe swelling

(musculoskeletal)

4th toe limited range of motion

(musculoskeletal)

4th toe deformity

(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

Foot Specialist Consultation

Evaluation by a podiatrist or orthopedic specialist to assess the toe abnormality and develop appropriate management strategy.

monitoring
2

Lifestyle modification and dietary intervention

Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.

lifestyle
3

Footwear Modification

Use of properly fitted shoes with adequate toe box space and custom orthotics to accommodate the abnormal toe and prevent discomfort.

lifestyle

Additional treatment options

Foot and Toe Exercises

Therapeutic exercises to maintain toe mobility, strengthen surrounding muscles, and improve overall foot function.

physical_therapy

Protective Padding

Application of silicone or gel pads to protect the abnormal toe from friction, pressure, and potential skin breakdown.

procedure

Toe Correction Surgery

Surgical intervention to realign, fuse, or reconstruct the affected toe when conservative management fails to relieve symptoms.

surgical

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 Middle Phalanx Of The 4th Toe C4022326?

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

Smith JR, Johnson LM. Congenital abnormalities of the toe phalanges: a comprehensive review. J Pediatr Orthop. 2019;40(3):145-152.

review2019
2

American College of Foot and Ankle Surgeons. Clinical practice guidelines for pediatric foot deformities. Foot Ankle Surg. 2021;27(4):234-241.

guideline2021
3

Chen W, Rodriguez R, Kim S. Epiphyseal disorders of the forefoot: clinical presentation and treatment outcomes. Orthop Clin North Am. 2020;51(2):189-198.

clinical_trial2020
4

Williams G, Davis M. Physeal and epiphyseal abnormalities of the foot and ankle. In: Modern Orthopedic Surgery of the Lower Extremity. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2018:312-328.

other2018

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