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2011, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2011; 9 (3)

Toe deformities in children

Chang P, Rodas AC
Full text How to cite this article

Language: Spanish
References: 8
Page: 215-220
PDF size: 299.19 Kb.


Key words:

Deformity, toes, nails, syndactyly, polydactyly, overlapping toes, clinodactyly, nail flattening.

ABSTRACT

Background: Children’s toes may have congenital or acquired deformities with or without dystrophic nails.
Objective: To present the clinical experience of toe deformities with and without dystrophic nails in a pediatric population.
Method: A descriptive trial was performed to determine the frequency of toe deformities with and without nail involvement in children who attended at Angeles Hospital and the pediatrics department of the Hospital General de Enfermedades IGSS, in Guatemala City, during 2010.
Patients below 15 years old were included, regardless of sex or dermatological complaint. All patients underwent a complete dermatological examination with emphasis on the toes and their nails.
Results: A total of 30 patients were studied, 16 (53.3%) were female and 14 (46.6%) male; the groups affected by age were: less than one year, 2 (6.66%); 1-5 years, 14 (46.6%); 5-10 years, 7 (23.3%); and 10 to 15 years, 7 (23.3%). The affected toes without nail disease were 22 (73.3%), and with dystrophic nails disease 8 (26.6%). Toe deformities found were clinodactyly, 14 patients (46.6%); syndactyly 6 (20%), 3 of them associated with congenital disease, 2 (6.64%) with Down syndrome, and 1 (3.33%) with Fraser syndrome; overlapping toes with clinodactyly 5 (16.66%); overlapping toes 4 (13.33%); polysyndactyly 1 (3.33%). Nail flattening by itself affected 8 patients (26.66%).
Conclusion: Toe deformities in children can be more common when associated to congenital diseases.


REFERENCES

  1. 2010. Disponible en http://www.podiatrynetwork.com/document_disorders.cfm?id=194. Consultado en febrero 2011.

  2. Thompson GH. “Bunions and deformities of the toes in children and adolescents”. J Bone Joint Surg Am 1995; 77: 1924-1936.

  3. Thomas JL, Blitch EL, Chaney M, et al. “Diagnosis and treatment of forefoot disorders. Section 1: Digital deformities”. The Journal of Foot & Ankle Surgery 2009; 49 (2): 230-272.

  4. Fixsen JA. “Problem feet in children”. Journal of the Royal Society of Medicine 1998; 91: 18-22.

  5. Knott L. “Orthopaedic problems in childhood”. 2009. Disponible en http://www.patient.co.uk/doctor/Orthopaedic-Problems-in-Childhood. htm. Consultado en febrero 2011.

  6. Gore AI, Spencer JP. “The Newborn Foot”. Am Fam Physician 2004; 69: 865-872.

  7. Hoekelman RA, Chianese MJ. “Toe deformities in children”. 2008. Disponible en http://www.pediatriccareonline.org/pco/ub/view/AAPTextbook- of-Pediatric-Care/394183/3.2/chapter_183:_foot_and_leg_ problems. Consultado en febrero 2011.

  8. Chang P, Pinzon Porres P. “Deformidades de los ortejos y alteraciones ungueales”. DCMQ 2008; 6 (4): 232-240.




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Dermatología Cosmética, Médica y Quirúrgica. 2011;9