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Toes, space between first and second

MedGen UID:
348253
•Concept ID:
C1861058
•
Finding
Synonym: TOES, SPACE BETWEEN FIRST AND SECOND
 
Monarch Initiative: MONDO:0008580
OMIM®: 189230

Clinical features

From HPO
Sandal gap
MedGen UID:
374376
•Concept ID:
C1840069
•
Finding
A widely spaced gap between the first toe (the great toe) and the second toe.
See: Feature record | Search on this feature

Professional guidelines

PubMed

The use of second-trimester genetic sonogram in guiding clinical management of patients at increased risk for fetal trisomy 21.
Vintzileos AM, Campbell WA, Rodis JF, Guzman ER, Smulian JC, Knuppel RA
Obstet Gynecol 1996 Jun;87(6):948-52. doi: 10.1016/0029-7844(96)00053-1. PMID: 8649704

Recent clinical studies

Etiology

Functional and patient reported outcomes following lateral hallucal sesamoidectomy.
Mehtar M, Saragas NP, Ferrao PN
Foot (Edinb) 2020 Jun;43:101656. Epub 2019 Nov 27 doi: 10.1016/j.foot.2019.101656. PMID: 32078908
First web space soft tissue release in bunion surgery: functional outcomes of a new technique.
Panchbhavi VK, Rapley J, Trevino SG
Foot Ankle Int 2011 Mar;32(3):257-61. doi: 10.3113/FAI.2011.0257. PMID: 21477544
Covering of the toes during hindfoot and ankle surgery: a randomized, controlled, clinical study.
Goucher NR, Coughlin MJ
Foot Ankle Int 2007 Apr;28(4):413-5. doi: 10.3113/FAI.2007.0413. PMID: 17475133
Symmetry of vascular pedicle anatomy in the first web space of the foot related to toe harvest: clinical observations in 85 simultaneous bilateral second-toe transfer patients.
Spanio S, Wei FC, Coskunfirat OK, Lin CH, Lin YT
Plast Reconstr Surg 2005 Apr 15;115(5):1325-7. doi: 10.1097/01.prs.0000156977.13014.37. PMID: 15809594
Treatment of the hands and feet in Apert syndrome: an evolution in management.
Fearon JA
Plast Reconstr Surg 2003 Jul;112(1):1-12; discussion 13-9. doi: 10.1097/01.PRS.0000065908.60382.17. PMID: 12832871

Diagnosis

Modified Lymphoscintigraphy in Primary Lymphatic Insufficiency of the Lower Limb.
Wald M, Svobodova J, Krizova H
Lymphology 2023;56(2):61-71. PMID: 38621384
Retiform hemangioendothelioma: a case series and review of the literature.
Chundriger Q, Tariq MU, Rahim S, Abdul-Ghafar J, Din NU
J Med Case Rep 2021 Feb 17;15(1):69. doi: 10.1186/s13256-021-02671-2. PMID: 33593408Free PMC Article
Aggressive Digital Papillary Adenocarcinoma With Multiple Organ Metastases: A Case Report and Review of the Literature.
Kobayashi T, Hiura A, Oishi K, Maeda S, Le Pavoux AJ, Ohara K, Uruga H
Am J Dermatopathol 2016 Dec;38(12):910-914. doi: 10.1097/DAD.0000000000000703. PMID: 27870729Free PMC Article
Dimensions of the anterior tarsal tunnel and features of the deep peroneal nerve in relation to clinical application.
Aktan Ikiz ZA, Ucerler H, Uygur M
Surg Radiol Anat 2007 Oct;29(7):527-30. Epub 2007 Jul 3 doi: 10.1007/s00276-007-0229-x. PMID: 17607504
The 12p trisomy syndrome.
Armendares S, Salamanca F, Nava S, Ramirez S, Cantu JM
Ann Genet 1975 Jun;18(2):89-94. PMID: 1081370

Therapy

Aggressive Digital Papillary Adenocarcinoma With Multiple Organ Metastases: A Case Report and Review of the Literature.
Kobayashi T, Hiura A, Oishi K, Maeda S, Le Pavoux AJ, Ohara K, Uruga H
Am J Dermatopathol 2016 Dec;38(12):910-914. doi: 10.1097/DAD.0000000000000703. PMID: 27870729Free PMC Article
Covering of the toes during hindfoot and ankle surgery: a randomized, controlled, clinical study.
Goucher NR, Coughlin MJ
Foot Ankle Int 2007 Apr;28(4):413-5. doi: 10.3113/FAI.2007.0413. PMID: 17475133
Effect on balance and gait secondary to removal of the second toe for digital reconstruction: 5-year follow-up.
Beyaert C, Henry S, Dautel G, Martinet N, Beltramo F, Lascombes P, André JM
J Pediatr Orthop 2003 Jan-Feb;23(1):60-4. PMID: 12499945
Toe skin temperature as a guide to epidural anaesthesia dosing.
Sato S, Akiyoshi Y, Ashimura H, Nishijima Y, Okubo N, Takahashi H
Can J Anaesth 1994 Mar;41(3):232-5. doi: 10.1007/BF03009836. PMID: 8187258
The vessels of the first metatarsal web space. An operative and radiographic study.
Leung PC, Wong WL
J Bone Joint Surg Am 1983 Feb;65(2):235-8. doi: 10.2106/00004623-198365020-00014. PMID: 6822586

Prognosis

Functional and patient reported outcomes following lateral hallucal sesamoidectomy.
Mehtar M, Saragas NP, Ferrao PN
Foot (Edinb) 2020 Jun;43:101656. Epub 2019 Nov 27 doi: 10.1016/j.foot.2019.101656. PMID: 32078908
First web space soft tissue release in bunion surgery: functional outcomes of a new technique.
Panchbhavi VK, Rapley J, Trevino SG
Foot Ankle Int 2011 Mar;32(3):257-61. doi: 10.3113/FAI.2011.0257. PMID: 21477544
Symmetry of vascular pedicle anatomy in the first web space of the foot related to toe harvest: clinical observations in 85 simultaneous bilateral second-toe transfer patients.
Spanio S, Wei FC, Coskunfirat OK, Lin CH, Lin YT
Plast Reconstr Surg 2005 Apr 15;115(5):1325-7. doi: 10.1097/01.prs.0000156977.13014.37. PMID: 15809594
Effect on balance and gait secondary to removal of the second toe for digital reconstruction: 5-year follow-up.
Beyaert C, Henry S, Dautel G, Martinet N, Beltramo F, Lascombes P, André JM
J Pediatr Orthop 2003 Jan-Feb;23(1):60-4. PMID: 12499945
Arteries to the great and second toes based on three-dimensional analysis of 100 cadaveric feet.
Hamada N, Ikuta Y, Ikeda A
Surg Radiol Anat 1993;15(3):187-92. doi: 10.1007/BF01627702. PMID: 8235960

Clinical prediction guides

Functional and patient reported outcomes following lateral hallucal sesamoidectomy.
Mehtar M, Saragas NP, Ferrao PN
Foot (Edinb) 2020 Jun;43:101656. Epub 2019 Nov 27 doi: 10.1016/j.foot.2019.101656. PMID: 32078908
Rolled Tendon Allograft Interposition Arthroplasty for Salvage Surgery of the Hallux Metatarsophalangeal Joint.
Thomas D, Thordarson D
Foot Ankle Int 2018 Apr;39(4):458-462. Epub 2018 Mar 5 doi: 10.1177/1071100717746609. PMID: 29506394
First web space soft tissue release in bunion surgery: functional outcomes of a new technique.
Panchbhavi VK, Rapley J, Trevino SG
Foot Ankle Int 2011 Mar;32(3):257-61. doi: 10.3113/FAI.2011.0257. PMID: 21477544
Symmetry of vascular pedicle anatomy in the first web space of the foot related to toe harvest: clinical observations in 85 simultaneous bilateral second-toe transfer patients.
Spanio S, Wei FC, Coskunfirat OK, Lin CH, Lin YT
Plast Reconstr Surg 2005 Apr 15;115(5):1325-7. doi: 10.1097/01.prs.0000156977.13014.37. PMID: 15809594
Amputation of the great toe. A clinical and biomechanical study.
Mann RA, Poppen NK, O'Konski M
Clin Orthop Relat Res 1988 Jan;(226):192-205. PMID: 3335094

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