Webbed toes is the informal and common name for syndactyly affecting the feet—the fusion of two or more digits of the feet. This is normal in many birds, such as ducks; amphibians, such as frogs; and some mammals, such as kangaroos. In humans it is rare, occurring once in about 2,000 to 2,500 live births: most commonly the second and third toes are webbed (joined by skin and flexible tissue), which can reach partly or almost fully up the toe.

Webbed toes
Human foot with partial simple syndactyly.
SpecialtyMedical genetics

Cause

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The exact cause of the condition is unknown. In some cases, close family members may share this condition. In other cases, no other related persons have this condition. The scientific name for the condition is syndactyly, although this term covers both webbed fingers and webbed toes. Syndactyly occurs when apoptosis or programmed cell death during gestation is absent or incomplete. Webbed toes occur most commonly in the following circumstances:[1]

It is also associated with a number of rare conditions, notably:[1]

Diagnosis

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This condition is normally discovered at birth. If other symptoms are present, a specific syndrome may be indicated.[1] Diagnosis of a specific syndrome is based on family history, medical history, and a physical exam. Webbed toes are also known as "twin toes," "duck toes," "turkey toes," "tree toes" and "tiger toes."

Severity can vary. Most cases involve the second and third toes but any number of toes can be involved. In some cases the toes are joined part way while in some the webbing can extend right up to the nails. In some cases the entire toes, including the nails and bones, can be fused.

Treatment

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Partial simple syndactyly before surgery
 
Partial simple syndactyly, 4 months post-op

Webbed toes can be separated through surgery. Surgical separation of webbed toes is an example of body modification.

As with any form of surgery, there are risks of complications. In contrast, when left untreated it is very uncommon for webbed toes to cause complications beyond cosmetic considerations. For this reason, many medical professionals do not recommend surgical separation for typical cases.

The end results depend on the extent of the webbing and underlying bone structure. There is usually some degree of scarring, and skin grafts may be required. In rare instances, nerve damage may lead to loss of feeling in the toes and a tingling sensation. There are also reports of partial web grow-back. The skin grafts needed to fill in the space between the toes can lead to additional scars in the places where the skin is removed.

Notable cases

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See also

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References

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  1. ^ a b c Clark, Robin D.; Curry, Cynthia J. (2019), Clark, Robin D.; Curry, Cynthia J. (eds.), "Syndactyly", Genetic Consultations in the Newborn, Oxford University Press, pp. 223–228, doi:10.1093/med/9780199990993.003.0033, ISBN 978-0-19-999099-3, retrieved 2023-12-23
  2. ^ Saner, Emine (2007-09-19). "Soul survivor". The Guardian. London. Retrieved 2008-01-01.
  3. ^ "Tricia Trivia". Archived from the original on 2008-03-28. Retrieved 2008-03-22.
  4. ^ Tubridy, Ryan (31 August 2011). "Here's what happened on today's show..." Tubridy. RTÉ 2fm. Archived from the original on 6 April 2012.
  5. ^ "Star Tracks (People magazine)". 16 April 2005. Retrieved 2008-03-27.
  6. ^ "famous people webbed toes". 8 March 2014.
  7. ^ Conan Has Webbed Toes | Conan O'Brien Needs a Friend, 22 September 2022, retrieved 2022-12-18
  8. ^ "Among the Dead". Mississippi Review. Archived from the original on 2008-03-18. Retrieved 2008-03-27.
  9. ^ Applebaum, Anne (November 2014). "Understanding Stalin". The Atlantic. Archived from the original on 2022-07-07. Retrieved 2022-09-17.
  10. ^ Florez, Fatima (January 10, 2024). "Instagram post". Twitter. Retrieved January 11, 2024.
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