Question
My 14 year old son is missing the ends of several of his toe bones.  The ones not missing are malformed.  This was discovered by Xray after a seemingly unrelated toe sprain.  Subsequent X-rays of the other foot show the same problem.  Hands are unaffected.  There is a possible family history of nail patella syndrome.  Could this be the explanation?

Answer
Hi Elle,

Nail patella syndrome is a fairly rare genetic problem and usually has more serious problems associated with the disease.  Problems usually include fingernail problems, eye and kidney disorders.

It is possible for your son to just have the malformed toes with no other problems.  There are also many other genetic conditions that have malformed toes but again they are usually seen with more major medical problems.

If you have concerns that your son may have other problems, I would see your Pediatrician for a referral to an appropriate specialist.

Hope that helps.

Sincerely,

Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com
www.fix-my-foot.com