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Foot problems in Turner's syndrome.
C A Findlay1, M D Donaldson, G Watt
1Department of Child Health, Royal Hospital for Sick Children, Yorkhill, Glasgow, United Kingdom.
The Journal of Pediatrics
|May 9, 2001
Summary
Girls with Turner's syndrome (TS) experience frequent foot problems, including ingrowing toenails, due to anatomical and biomechanical factors. Routine foot examinations are recommended for early detection and management of these common issues in TS patients.
Area of Science:
- Podiatry
- Genetics
- Pediatrics
Background:
- Turner's syndrome (TS) is a genetic condition affecting females.
- Foot health in girls with TS is not well-documented.
- Understanding TS-related foot issues is crucial for patient care.
Observation:
- A prospective study compared 23 girls with TS to 47 controls.
- Data collection focused on foot morphology and problems.
- Clinical examinations and patient histories were utilized.
Findings:
- 26% of girls with TS reported ingrowing toenails, versus 0% in controls.
- Girls with TS exhibited shorter, broader feet and hallux valgus.
- Increased incidence of nail involution, periungual inflammation, and lymphedema observed in TS group.
Implications:
- Specific foot characteristics in TS predispose to ingrowing toenails.
- Excessive subtalar joint pronation is a contributing factor.
- Regular podiatric surveillance is essential for girls with Turner's syndrome.