Midline metatarsal dysplasia associated with absent fibula

In 5 patients with congenital deficiency of the fibula, the degree of fibular deficiency ranged from unilaterally short to bilaterally absent. The patients each had at least one missing metatarsal and, in addition, dysplasia of a midline metatarsal. In view of these findings, some missing metatarsals associated with congenital fibular deficiency could be midline metatarsals. The abnormality could represent a deficiency acquired after the development of the embryonic limb bud cartilage models.