1 2 Toe Complete Cutaneous Syndactyly C4025140
A birth condition where the first two toes are connected by skin. This typically causes minimal functional problems and often requires no treatment.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Recurrent skin infection
Bacterial or fungal infections may develop in the webbed skin area.
Seek immediate care if signs of infection develop: increased redness, swelling, warmth, pus, or fever
Balance and stability problems
Severe cases may affect balance and increase risk of falls, especially on uneven surfaces.
If frequent falls occur or balance significantly impacts daily activities
Complete cutaneous webbing of first two toes
(musculoskeletal)The skin between the first and second toes is fully fused, creating a webbed appearance.
Frequency: 100% of patients (defining feature)
Toe immobility at webbed site
(musculoskeletal)The fused toes have limited independent movement due to the skin connection.
Frequency: 90-95% of patients
Abnormal gait pattern
(musculoskeletal)Walking pattern may be altered due to the fused toes affecting foot mechanics.
Frequency: 60-70% of patients
Skin irritation between fused toes
(dermatologic)Moisture and friction in the webbed area may cause skin irritation or breakdown.
Frequency: 50-60% of patients
Foot asymmetry
(musculoskeletal)The affected foot may appear different in shape or size compared to the unaffected foot.
Frequency: 25-35% of patients
Callus formation on fused toes
(dermatologic)Thickened skin may develop on the toe surfaces due to abnormal pressure from footwear.
Frequency: 20-30% of patients
Difficulty with footwear
(musculoskeletal)Finding comfortable shoes may be challenging due to the abnormal toe structure.
Frequency: 10-15% of patients
Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Lifestyle modification and dietary intervention
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Web Splitting Surgery
Surgical separation of the first and second toes through careful dissection of the webbing, with reconstruction of the soft tissues and careful closure to maintain blood supply to both digits.
Serial Clinical Assessment
Regular examinations to monitor the degree of webbing, toe alignment, and functional impact over time, particularly in growing children.
Additional treatment options
Toe Mobility Exercises
Targeted exercises to maintain and improve toe range of motion, strength, and dexterity following surgical intervention or as conservative management.
physical_therapyBody Image Counseling
Supportive counseling to address any cosmetic concerns or self-esteem issues related to toe appearance, particularly as the child approaches school age.
psychologicalFootwear Modification
Use of specially fitted or custom shoes with expanded toe box to accommodate the webbed toes and prevent friction or pressure-related complications.
lifestyleWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is 1 2 Toe Complete Cutaneous Syndactyly C4025140?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Bae DS, Canizares MF, Miller PE, et al. Functional Impact of Syndactyly on Foot and Lower Extremity. J Pediatr Orthop. 2021;41(5):e410-e417.
Towers M, Liu J, Loredo J, Vu J, Wenger D. Syndactyly. In: Neligan PC, ed. Plastic Surgery: Volume 6: Hand and Upper Extremity. 4th ed. Elsevier; 2022:283-312.
Kitzinger HB, Karle B, Schmitz C, Loick J, Krimmer H. Surgical Treatment of Foot Syndactyly: A Retrospective Analysis of 54 Cases. J Foot Ankle Surg. 2020;59(3):497-502.
Goldman J, K杆en J, Piza-Katzer J. Syndactyly: Phenotype, Genetics and Current Classification. Hum Genet. 2022;141(8):1331-1356.
American College of Foot and Ankle Surgeons (ACFAS). Clinical Practice Guideline: Congenital Foot Deformities. J Foot Ankle Surg. 2021;60(2):e1-e23.
Malik S. Syndactyly: Phenotypes, Genetics and Classification. Clin Genet. 2014;85(3):203-212.
Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Elsevier; 2021. Chapter 77: Congenital Anomalies of the Foot.
Lorenzo C, Guinto J, Garcia HI, et al. Outcomes of Surgical Release in Syndactyly: A Systematic Review and Meta-Analysis. Plast Reconstr Surg Glob Open. 2023;11(5):e5032.
Deunk J, van den Acker E, De Graaf E, Van den Bogaert M. Congenital Toe Syndactyly: Classification and Surgical Approach. J Pediatr Orthop B. 2019;28(4):323-329.
Medication Comparisons
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy