Syndactylism with keloid scar formation

A 19-year-old Arab woman who was previously operated on to desyndactylize her right second and third digits is presented in this case report. The patient's toes resyndactylized postoperatively and a keloid scar developed on the dorsum of her incision site. Syndactylism of digits is often discussed when involving the hand. However, it is much less frequently presented when it involves the foot, because surgical intervention is seldom necessary unless foot function is affected. Keloid scars are commonly encountered and pose a challenge to the podiatric physician because of their recalcitrant and recurrent tendency. This paper, detailing complete podiatric surgical treatment, is presented with a review of literature aiming to consolidate the presently known facts about syndactylism and keloids, and their treatment in the foot.