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Medially deviated second toe

MedGen UID:
350602
•Concept ID:
C1862147
•
Finding
HPO: HP:0008096

Definition

Medial deviation of the second toe. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMedially deviated second toe

Conditions with this feature

Type A2 brachydactyly
MedGen UID:
318690
•Concept ID:
C1832702
•
Congenital Abnormality
Brachydactyly type A2 is an autosomal dominant disorder characterized by malformations of the middle phalanx of the index finger and by anomalies of the second toe (summary by Su et al., 2011).
See: Condition Record
Type A2 brachydactyly

Recent clinical studies

Etiology

Radiographic Shape of Foot With Second Metatarsophalangeal Joint Dislocation Associated With Hallux Valgus.
Kokubo T, Hashimoto T, Suda Y, Waseda A, Ikezawa H
Foot Ankle Int 2017 Dec;38(12):1374-1379. Epub 2017 Sep 21 doi: 10.1177/1071100717728579. PMID: 28934874
Correction of multiplanar deformity of the second toe with metatarsophalangeal release and extensor brevis reconstruction.
Ellis SJ, Young E, Endo Y, Do H, Deland JT
Foot Ankle Int 2013 Jun;34(6):792-9. Epub 2013 Feb 7 doi: 10.1177/1071100713475433. PMID: 23391630
Crossover second toe: demographics, etiology, and radiographic assessment.
Kaz AJ, Coughlin MJ
Foot Ankle Int 2007 Dec;28(12):1223-37. doi: 10.3113/FAI.2007.1223. PMID: 18173985
The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe.
Myerson MS, Jung HG
Foot Ankle Int 2005 Sep;26(9):675-9. doi: 10.1177/107110070502600903. PMID: 16174496
Relation between hallux valgus deformity and lumbar and lower extremity biomechanics.
Inçel NA, Genc H, Yorgancioglu ZR, Erdem HR
Kaohsiung J Med Sci 2002 Jul;18(7):329-33. PMID: 12380322

Diagnosis

Is the Apert foot an overlooked aspect of this rare genetic disease? Clinical findings and treatment options for foot deformities in Apert syndrome.
Stauffer A, Farr S
BMC Musculoskelet Disord 2020 Nov 28;21(1):788. doi: 10.1186/s12891-020-03812-2. PMID: 33248465Free PMC Article
The Rotterdam Foot Classification: A Classification System for Medial Polydactyly of the Foot.
Burger EB, Hovius SE, Burger BJ, van Nieuwenhoven CA
J Bone Joint Surg Am 2016 Aug 3;98(15):1298-306. doi: 10.2106/JBJS.15.01416. PMID: 27489321
The underlying osseous deformity in plantar plate tears: a radiographic analysis.
Klein EE, Weil L Jr, Weil LS Sr, Knight J
Foot Ankle Spec 2013 Apr;6(2):108-18. Epub 2012 Oct 22 doi: 10.1177/1938640012463060. PMID: 23091286
Crossover second toe: demographics, etiology, and radiographic assessment.
Kaz AJ, Coughlin MJ
Foot Ankle Int 2007 Dec;28(12):1223-37. doi: 10.3113/FAI.2007.1223. PMID: 18173985
Relation between hallux valgus deformity and lumbar and lower extremity biomechanics.
Inçel NA, Genc H, Yorgancioglu ZR, Erdem HR
Kaohsiung J Med Sci 2002 Jul;18(7):329-33. PMID: 12380322

Therapy

Cadaveric Evaluation of Dorsal Intermetatarsal Approach for Plantar Plate and Lateral Collateral Ligament Repair of the Lesser Metatarsophalangeal Joints.
Phisitkul P, Hosuru Siddappa V, Sittapairoj T, Goetz JE, Den Hartog BD, Femino JE
Foot Ankle Int 2017 Jul;38(7):791-796. Epub 2017 Apr 11 doi: 10.1177/1071100717702460. PMID: 28399657
Pinning across the metatarsophalangeal joint for hammertoe correction: where are we aiming and what is the damage to the metatarsal articular surface?
Galli MM, Brigido SA, Protzman NM
J Foot Ankle Surg 2014 Jul-Aug;53(4):405-10. Epub 2013 Jul 18 doi: 10.1053/j.jfas.2013.06.014. PMID: 23871175
Comparison of designed slippers splints with the splints available on the market in the treatment of hallux valgus.
Mirzashahi B, Ahmadifar M, Birjandi M, Pournia Y
Acta Med Iran 2012;50(2):107-12. PMID: 22359079
The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe.
Myerson MS, Jung HG
Foot Ankle Int 2005 Sep;26(9):675-9. doi: 10.1177/107110070502600903. PMID: 16174496

Prognosis

The underlying osseous deformity in plantar plate tears: a radiographic analysis.
Klein EE, Weil L Jr, Weil LS Sr, Knight J
Foot Ankle Spec 2013 Apr;6(2):108-18. Epub 2012 Oct 22 doi: 10.1177/1938640012463060. PMID: 23091286
Lesser metatarsophalangeal joint instability: prospective evaluation and repair of plantar plate and capsular insufficiency.
Nery C, Coughlin MJ, Baumfeld D, Mann TS
Foot Ankle Int 2012 Apr;33(4):301-11. doi: 10.3113/FAI.2012.0301. PMID: 22735202
Lesser-metatarsal medial displacement osteotomy for the treatment of digital transverse plane deformities.
Goforth WP, Overbeek TD, Odom RD, Roe TG, McDonald DK
J Am Podiatr Med Assoc 2005 Nov-Dec;95(6):550-5. doi: 10.7547/0950550. PMID: 16291846
Pfeiffer Syndrome type 2--case report.
Oyamada MK, Ferreira HS, Hoff M
Sao Paulo Med J 2003 Jul 1;121(4):176-9. Epub 2003 Oct 29 doi: 10.1590/s1516-31802003000400008. PMID: 14595512Free PMC Article
Prenatal diagnosis of type 2 Pfeiffer syndrome.
Bernstein PS, Gross SJ, Cohen DJ, Tiller GR, Shanske AL, Bombard AT, Marion RW
Ultrasound Obstet Gynecol 1996 Dec;8(6):425-8. doi: 10.1046/j.1469-0705.1997.08060425.x. PMID: 9014285

Clinical prediction guides

The Rotterdam Foot Classification: A Classification System for Medial Polydactyly of the Foot.
Burger EB, Hovius SE, Burger BJ, van Nieuwenhoven CA
J Bone Joint Surg Am 2016 Aug 3;98(15):1298-306. doi: 10.2106/JBJS.15.01416. PMID: 27489321
Correction of multiplanar deformity of the second toe with metatarsophalangeal release and extensor brevis reconstruction.
Ellis SJ, Young E, Endo Y, Do H, Deland JT
Foot Ankle Int 2013 Jun;34(6):792-9. Epub 2013 Feb 7 doi: 10.1177/1071100713475433. PMID: 23391630
The underlying osseous deformity in plantar plate tears: a radiographic analysis.
Klein EE, Weil L Jr, Weil LS Sr, Knight J
Foot Ankle Spec 2013 Apr;6(2):108-18. Epub 2012 Oct 22 doi: 10.1177/1938640012463060. PMID: 23091286
Lesser metatarsophalangeal joint instability: prospective evaluation and repair of plantar plate and capsular insufficiency.
Nery C, Coughlin MJ, Baumfeld D, Mann TS
Foot Ankle Int 2012 Apr;33(4):301-11. doi: 10.3113/FAI.2012.0301. PMID: 22735202
The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe.
Myerson MS, Jung HG
Foot Ankle Int 2005 Sep;26(9):675-9. doi: 10.1177/107110070502600903. PMID: 16174496

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