An 8-year-old African Canadian boy was referred to an orthopedic surgeon for an assessment of the second toe on his left foot, which was disproportionately longer than the rest of his toes. The deformity had been present since birth, but was becoming more pronounced. The patient was healthy and was otherwise developing normally. At presentation, the patient’s primary symptoms were limited to embarrassment and mild discomfort with footwear.
The most likely diagnosis is
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Ingrown nail
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Megadactyly
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Syndactyly
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Brachydactyly
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Subungual exostosis
Answer on page 172
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