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Delta phalanx

M R Day1, C L Hendrix, G A Gorecki

  • 1Podiatry Section, VA Medical Center, West Haven, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|January 1, 1996
PubMed
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This study details a rare congenital toe deformity, specifically an abductus deformity of the second digit, which appears to be familial. Potential causes include premature epiphyseal closure or a C-shaped epiphysis, resembling a delta phalanx.

Area of Science:

  • Orthopedics
  • Genetics
  • Pediatric Medicine

Background:

  • Congenital foot deformities represent a spectrum of conditions affecting pediatric populations.
  • Understanding the etiology of rare digital anomalies is crucial for diagnosis and management.
  • Familial patterns in congenital conditions suggest a genetic component.

Observation:

  • A case of bilateral, symmetrical, transverse plane abductus deformity of the second digit is presented.
  • The observed deformity exhibits characteristics that suggest a potential genetic predisposition.
  • The condition presents as a unique presentation within the spectrum of congenital toe abnormalities.

Findings:

  • The primary finding is a familial congenital abductus deformity of the second toe.

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  • Differential diagnoses considered include premature distal-lateral epiphyseal closure or a C-shaped epiphysis of the middle phalanx.
  • The deformity shares similarities with the 'delta phalanx' described in orthopedic literature.

    • Implications:

    • This case highlights the importance of considering genetic factors in congenital toe deformities.
    • Further research into the genetic basis of such anomalies may improve diagnostic accuracy.
    • Recognition of this specific deformity aids orthopedic specialists in patient evaluation and treatment planning.