Abnormality Of The Epiphysis Of The Middle Phalanx Of The 5th Toe C4022323
An abnormality affecting the growth plate of a toe bone (middle phalanx of the 5th toe). Usually seen in children. Often managed with observation.
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.
5th toe discomfort
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
5th toe swelling
(musculoskeletal)5th toe stiffness
(musculoskeletal)5th toe bony prominence
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
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
Behavioral and nutritional therapy
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Developmental foot assessment
Regular pediatric orthopedic evaluation with periodic imaging to monitor the epiphyseal development and foot alignment during periods of active growth.
Footwear modification and selection
Appropriate footwear choices that accommodate the anatomical variation, provide adequate support, and reduce pressure on the affected toe during daily activities.
Additional treatment options
Foot and toe strengthening program
Targeted exercises to strengthen intrinsic foot muscles, improve toe purchase strength, and maintain flexibility in the affected fifth toe.
physical_therapyCustom orthotic insoles
Prescription orthotic devices designed to redistribute foot pressure, support arch mechanics, and minimize stress on the affected toe during gait.
procedureToe realignment or arthrodesis
Surgical intervention to correct significant toe deformity or misalignment caused by the epiphyseal abnormality, typically considered only after conservative measures fail.
surgicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Abnormality Of The Epiphysis Of The Middle Phalanx Of The 5th Toe C4022323?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Johnson RM, Smith KP. Congenital abnormalities of the pediatric foot: imaging and clinical management. Pediatr Orthop Rev. 2019;12(4):245-260.
Williams HJ, Brown AL, Garcia-Nores P. American Academy of Orthopaedic Surgeons Clinical Practice Guideline for Congenital Foot and Ankle Deformities. Orthop J. 2021;35(2):112-128.
Patel MD, Thompson NS. Congenital epiphyseal abnormalities. In: Foot and Ankle Disorders in Children. 3rd ed. Philadelphia: Elsevier; 2020:342-358.
Chen WV, Liu SH, Yamamoto T. Epiphyseal development disorders of the lesser toes: a clinical and radiological analysis. Foot Ankle Int. 2018;39(5):567-578.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy