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Abnormality of toe proximal phalanx

MedGen UID:
866970
•Concept ID:
C4021327
•
Anatomical Abnormality
Synonyms: Abnormal innermost toe bone; Abnormality of the proximal phalanges of the toes
 
HPO: HP:0010184

Definition

A morphological anomaly of one or more proximal phalanges of one or more toes. [from HPO]

Recent clinical studies

Etiology

The Role of the Shortened Proximal Phalanx in the Setting of Brachymetatarsia.
Thomas MA, Siddiqui NA, Millonig KJ, Siddiqui Y, Charles C, Khan BM
J Foot Ankle Surg 2023 Jan-Feb;62(1):129-131. Epub 2022 Jun 11 doi: 10.1053/j.jfas.2022.06.001. PMID: 35853807
Midterm and Long-term Follow-up After Surgical Reconstruction for Lateral Polydactyly of the Foot With Mosaic-like Alignment of the Phalanx Bones.
Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Fractures in patients with osteopetrosis, insights from a single institution.
Chawla A, Kwek EBK
Int Orthop 2019 Jun;43(6):1297-1302. Epub 2018 Oct 4 doi: 10.1007/s00264-018-4167-5. PMID: 30284606
Polydactyly of the foot.
Turra S, Gigante C, Bisinella G
J Pediatr Orthop B 2007 May;16(3):216-20. doi: 10.1097/01.bpb.0000192055.60435.31. PMID: 17414786
A metallic hemiarthroplasty resurfacing prosthesis for the hallux metatarsophalangeal joint.
Townley CO, Taranow WS
Foot Ankle Int 1994 Nov;15(11):575-80. doi: 10.1177/107110079401501101. PMID: 7849971

Diagnosis

Comparative Radiographic Analysis of the Width of the Lesser Digit Proximal Phalangeal Heads.
Kaur K, Cherian A, Hill RJ, Meyr AJ
J Am Podiatr Med Assoc 2023 Nov-Dec;113(6) doi: 10.7547/21-211. PMID: 38170599
Diffuse Palmoplantar Keratoderma, Onychodystrophy, universal Hypotrichosis and Cysts.
Arif T, Amin SS, Adil M, Mohtashim M
Acta Dermatovenerol Croat 2017 Jul;25(2):161-163. PMID: 28871934
Apert syndrome - clinical case.
Siminel MA, NeamŢu CO, DiŢescu D, ForŢofoiu MC, Comănescu AC, Novac MB, NeamŢu SD, Gluhovschi A
Rom J Morphol Embryol 2017;58(1):277-280. PMID: 28523332
Through-knee amputation for a patient with proximal femur focal deficiency and tibial hemimelia: surgical anatomy and clinical implications.
Lloyd S, Rashid AH, Das S, Ibrahim S
Anat Sci Int 2014 Mar;89(2):122-5. Epub 2013 Oct 26 doi: 10.1007/s12565-013-0211-0. PMID: 24158808
Antley-Bixler syndrome: a disorder characterized by congenital synostosis of the elbow joint and the cranial suture.
Kitoh H, Nogami H, Oki T, Arao K, Nagasaka M, Tanaka Y
J Pediatr Orthop 1996 Mar-Apr;16(2):243-6. doi: 10.1097/00004694-199603000-00021. PMID: 8742293

Therapy

Midterm and Long-term Follow-up After Surgical Reconstruction for Lateral Polydactyly of the Foot With Mosaic-like Alignment of the Phalanx Bones.
Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Thompson and Hamilton type IV Freiberg's disease with involvement of multiple epiphyses of both feet.
Lui TH
BMJ Case Rep 2015 Feb 26;2015 doi: 10.1136/bcr-2014-206909. PMID: 25721826Free PMC Article
Congenital hypoplastic anemia in six patients: unusual association of short proximal phalanges with mild anemia.
Cetin M, Kara A, Gürgey A, Gümrük F, Irken G, Yetgin S, Altay C
Pediatr Hematol Oncol 1995 Mar-Apr;12(2):153-8. doi: 10.3109/08880019509029548. PMID: 7626383

Prognosis

Anatomical Study of the Accessory Tendon of the Extensor Hallucis Longus Muscle and Its Clinical Application.
Li Y, Zhang JY, Zhao XY, Pan LY, Jin DH, Xu HX, Cui HZ, Liu YQ, Qin XZ, Li Q
Clin Orthop Surg 2021 Jun;13(2):261-265. Epub 2021 Feb 2 doi: 10.4055/cios20054. PMID: 34094018Free PMC Article
Midterm and Long-term Follow-up After Surgical Reconstruction for Lateral Polydactyly of the Foot With Mosaic-like Alignment of the Phalanx Bones.
Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Radiologic Patterning of Hallux Deformity in Rheumatoid Arthritis and Its Relationship to Flatfoot.
Matsumoto T, Nakada I, Juji T, Nakamura I, Ito K
J Foot Ankle Surg 2016 Sep-Oct;55(5):948-54. Epub 2016 Jun 8 doi: 10.1053/j.jfas.2016.04.011. PMID: 27289217
Polydactyly of the foot.
Turra S, Gigante C, Bisinella G
J Pediatr Orthop B 2007 May;16(3):216-20. doi: 10.1097/01.bpb.0000192055.60435.31. PMID: 17414786
A metallic hemiarthroplasty resurfacing prosthesis for the hallux metatarsophalangeal joint.
Townley CO, Taranow WS
Foot Ankle Int 1994 Nov;15(11):575-80. doi: 10.1177/107110079401501101. PMID: 7849971

Clinical prediction guides

Midterm and Long-term Follow-up After Surgical Reconstruction for Lateral Polydactyly of the Foot With Mosaic-like Alignment of the Phalanx Bones.
Iba K, Ozasa Y, Hanaka M, Hayakawa H, Kanaya K, Yamashita T
J Pediatr Orthop 2020 Jan;40(1):e30-e36. doi: 10.1097/BPO.0000000000001381. PMID: 30950938
Diffuse Palmoplantar Keratoderma, Onychodystrophy, universal Hypotrichosis and Cysts.
Arif T, Amin SS, Adil M, Mohtashim M
Acta Dermatovenerol Croat 2017 Jul;25(2):161-163. PMID: 28871934
Radiologic Patterning of Hallux Deformity in Rheumatoid Arthritis and Its Relationship to Flatfoot.
Matsumoto T, Nakada I, Juji T, Nakamura I, Ito K
J Foot Ankle Surg 2016 Sep-Oct;55(5):948-54. Epub 2016 Jun 8 doi: 10.1053/j.jfas.2016.04.011. PMID: 27289217
An unusual case of polydactyly.
Biere SS, Lagarde SM, Wust AF, Steller EP
Orthopedics 2009 Apr;32(4) PMID: 19388603
Epiphyseal clefts.
Harrison RB, Keats TE
Skeletal Radiol 1980 Feb;5(1):23-7. doi: 10.1007/BF00347094. PMID: 6767277

Recent systematic reviews

Structural factors associated with hallux limitus/rigidus: a systematic review of case control studies.
Zammit GV, Menz HB, Munteanu SE
J Orthop Sports Phys Ther 2009 Oct;39(10):733-42. doi: 10.2519/jospt.2009.3003. PMID: 19801816

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