Third, fourth and fifth toe symphalangism

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Stood on by horse ?fracture.

Patient Data

Age: 25 years
Gender: Female

Ankylosis of the distal interphalangeal joints of the third, fourth and fifth toes. No fracture. 

Case Discussion

Symphalangism is the technical term to described fusion of the phalanges (i.e. ankylosis of the interphalangeal joints).

It is a common anatomical variant, especially in the toes, although rarely may be associated with various syndromes or carpal/tarsal coalitions. 

This case shows symphalangism of the third and fourth toes, which is less common than isolated fifth toe symphalangism. 

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