Fifth Metatarsal Bifida with the Presence of an Extra Sixth Toe

Rationale — Osteogenesis occurs after the development of various ossification centers. Pathological duplication of these proliferative ossification centers can lead to bone bifurcation and, consequently, to polydactyly. Case description — This study presents a rare clinical case of a young woman (23 years old, 165 cm, 59 kg) who was referred to the Department of Orthopedic Surgery regarding restricted movement of the lower limb after engaging in professional sports. Clinical examination confirmed the presence of an extra toe on the foot, while X-ray examination diagnosed bifurcation of the fifth metatarsal bone (bifurcation of the bone with two medial and lateral heads and a common base). Orthopedists recommended surgical removal of the medial head and the associated toe. Physiotherapy was also recommended. Conclusion — The presence of various pathological centers of osteogenesis can lead to bone bifurcation and polydactyly. In such cases, surgical intervention followed by physiotherapy is recommended for the patient.