Updated: 10/11/2016

Syndactyly of the Toes

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https://upload.orthobullets.com/topic/4077/images/celldeath.jpg
https://upload.orthobullets.com/topic/4077/images/webbed_toes_after.jpg
Introduction
  • A congenital condition characterized by fusion of the bone or skin in the foot digits
  • Epidemiology
    • incidence
      • occurs in 1 in 2,000 births
    • body location
      • most frequently occurs between the second and third toe
  • Pathophysiology
    • cellular biology
      • due to incomplete or absent apoptosis during gestation
  • Genetics
    • inheritance pattern
      • most are autosomal dominant
  • Associated conditions
    • Familial Syndactyly
    • Down`s Syndrome 
    • Klippel-Feil Syndrome 
Classification
  • Two types
    • simple
      • if soft tissue only
    • complex
      • if bony fusion present
Presentation
  • Symptoms
    • usually painless with cosmetic concerns only
Imaging
  • Radiographs
    • AP of the foot
Treatment
  • Nonoperative
    • observation
      • indications
        • simple syndactyly
          • rarely requires treatment as this is an aesthetic deformity
          • complications include contractures and painful scar tissue
  • Operative 
    • digit release
      • indications
        • complex syndactyly
 

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