Fig. 4
From: An unusual example of hereditary multiple exostoses: a case report and review of the literature
Right foot. a Radiograph. A pedunculated growth is present on the medial surface of the 1st distal phalanx (a). A sessile osteochondroma is situated on the inferior surface of the 1st metatarsal bone (b). A sysnostosis has formed between the heads of the 2nd and 3rd metatarsals (c). An osteochondroma of the 2nd metatarsal has altered the orientation of the metatarsophalangeal joint (d). b Superficial dissection. The cartilage capped osteochondroma can be seen at the head on the 2nd metatarsal (a). A tendon of extensor digitorum longus is observed inserting into the osteochondroma (b)