Edit concept Question Editor Create issue ticket

Syndactyly (Feet)

SD1a


Presentation

  • Case Report We present a healthy 2-year-old boy ( Figure 1 ) of first gestation and full-term pregnancy from healthy young parents in a non-consanguineous marriage.[omicsonline.org]
  • In this type, abnormalities in the musculotendinous and neurovascular structures may also be present. Presentation Once the child presents to the clinician, it is important to determine the type and severity of the syndactyly.[boneandspine.com]
  • If heart defects are present at birth, surgery may also be required. Follow-up support by pediatric, psychological, neurological, surgical, and genetic specialists may be necessary.[orpha.net]
  • On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are[icd10data.com]
  • They may be unilateral or bilateral, meaning they can affect one foot or be present in both feet. If bilateral, they can be symmetrical. For example, webbing between the first two toes in each foot.[footwiki.com]
Soft Tissue Mass
  • Tissue Masses Bone Tumors of the Foot and Ankle Surgical Management of Bone Tumors in the Foot Plantar Fibromatosis TRAUMA Open Fractures Degloving and Soft Tissue Complications of Internal Fixation Trauma to the Nail and Associated Structures Management[books.google.de]
Tendon Disorder
  • Disorders Achilles Tendon Disorders Plastic and Reconstructive Surgery Bone Anchors Interpositional Arthroplasty of the First Lateral Column Arthroplasty SPECIAL SURGERY Puncture Wounds Lower Extremity Infections Nonunions STEPHAN J LAPOINTE Orthobiologics[books.google.de]
Joint Dislocation
  • Dislocation Calcaneal Fractures Talar Fractures Ankle Fractures Pilon Fractures Pediatric Foot and Ankle Fractures Neglected Calcaneal Fractures Urheberrecht[books.google.de]
  • Dislocation Calcaneal Fractures Talar Fractures Ankle Fractures Pilon Fractures Pediatric Foot and Ankle Fractures Neglected Calcaneal Fractures حقوق النشر[books.google.com]
Neglect
  • Dislocations of the Foot and Ankle Digital and Sesamoid Fractures Metatarsal Fractures Midfoot Fractures Tarsometatarsal Lisfranc Joint Dislocation Calcaneal Fractures Talar Fractures Ankle Fractures Pilon Fractures Pediatric Foot and Ankle Fractures Neglected[books.google.de]

Treatment

  • What are the benefits of treatment for congenital hand differences? Each child with a hand difference is unique, and the approach to treatment is based on the child’s individual needs.[my.clevelandclinic.org]
  • Simple syndactyly is more of a cosmetic problem than a functional one, and rarely requires treatment. 10 A radiographic evaluation is not indicated unless radical treatment is being contemplated.[aafp.org]
  • Trussler will determine which type of treatment is right for each patient based on a thorough evaluation of their individual condition.[drtrussler.com]
  • What is the treatment for syndactyly? Surgery is the only treatment, and more than one surgery may be necessary to completely correct the deformity. Most patients have a completely restored appearance and function after syndactyly surgery.[atlanticcentersurgery.com]
  • The following chart details common inherited and developmental foot complications in children, possible signs and symptoms and treatment options.[utahfootdoctors.com]

Prognosis

  • Treatment and prognosis The overall prognosis can be extremely variable dependent on the presence of other associated anomalies.[radiopaedia.org]
  • Natural History, Complications, and Prognosis Webbed toes is a purely cosmetic condition. This condition does not impair the ability to perform any activity including walking, running, or swimming.[wikidoc.org]
  • Then, the forefoot is slightly pulled distally, held between the thumb and index finger of the other hand, and gently pushed into a corrected position. 1 For the majority of MTA cases, the prognosis is quite good.[aafp.org]

Etiology

  • Neurologic Disorders CharcotMarieTooth Disease Tarsal Tunnel Syndrome Complex Regional Pain Syndromes and Related Disorders Evaluation and Management of the Diabetic Foot Wound Charcot Foot and Ankle Deformity Nail Surgery Interdigital Neuroma Morton Neuroma Etiology[books.google.de]
  • Etiology Carpenter syndrome is inherited as an autosomal recessive trait. Parental consanguinity was suspected in one case. Management and treatment Early cranio-facial surgery is recommended to improve the chances of normal mentality.[orpha.net]
  • Etiology Polydactyly may occur as an isolated trait or in conjunction with certain syndromes, and there is a positive family history in 30% of cases.[emedicine.medscape.com]

Epidemiology

  • Jordan D, Hindocha S, Dhital M, Saleh M, Khan W (2012) The epidemiology, genetics and future management of syndactyly. Open Orthop J 6: 14-27.[omicsonline.org]
  • Summary Epidemiology It is a very rare disease; approximately 40 cases have been described in the literature.[orpha.net]
  • In fact, the study found that smoking just half a pack per day increases the risk of having a child born with a toe or finger defect by 29 percent. [1] [2] Epidemiology and Demographics Webbed fingers or toes occur one in every 2,000 to 2,500 live births[wikidoc.org]
  • They added that diabetes in the mothers pointed to a possible genetic predisposition interacting with teratogenic effects of poor glycemic control. [18] Epidemiology The incidence of polydactyly is 1.7 cases per 1000 live births.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology The exact cause of the condition is unknown. In other cases, no other related persons have this condition. Syndactyly occurs when apoptosis or programmed cell death during gestation is absent or incomplete.[wikidoc.org]
  • Removing the extra digit through disarticulation is the standard treatment. [4, 11, 12, 13] Pathophysiology Polydactyly may be divided into three broad categories as follows: Postaxial polydactyly (lateral ray) Preaxial polydactyly (medial) Central polydactyly[emedicine.medscape.com]

Prevention

  • How to prevent webbed toes? It is said that prevention is better than cure but when it comes to webbed toes, sad to say, there is no known prevention for it.[jonesboropodiatrist.com]
  • Cases of syndactyly usually do not require repair; the aim of web reconstruction for syndactyly of the foot is purely cosmetic [ 10 ], to prevent the associated significant psychological morbidity and allow the patient to gain social acceptance [ 11 ][omicsonline.org]
  • Our radiologists have special expertise using ultrasound to look for bone and joint changes so we can work with your child to help prevent future problems.[seattlechildrens.org]
  • Syndactyly is usually not painful and does not effects someone’s ability to walk or run however; may prevent them from wearing certain shoes comfortably and may cause some to be self-conscious about how their feet look.[advancedfoottexas.com]
  • To prevent corns, wear shoes and socks that fit properly; avoid high heels, pointed or narrow shoes, and any shoes that hurt.[berkeleywellness.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!