Abnormality Of The Epiphyses Of The 2nd Toe C4023904
An abnormality affecting the growth area of the second toe bone. Usually occurs in children during growth periods. Treatment may involve monitoring, special footwear, or surgery if needed.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- moderate
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Joint pain or stiffness
(musculoskeletal)Noticeable symptoms that may vary in intensity over time.
Frequency: Common at all stages
Pain in the second toe
(musculoskeletal)Stiffness in the second toe
(musculoskeletal)Swelling of the second toe
(musculoskeletal)Deformity of the second toe
(musculoskeletal)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
Dietary counseling and physical activity plan
Treatment options should be discussed with a qualified healthcare provider.
Serial Radiographic Monitoring
Regular X-ray imaging to track epiphyseal development and detect progressive abnormalities. Assessment typically includes comparison with contralateral side and age-appropriate growth standards.
Foot and Toe Mobilization Exercises
Targeted stretching and strengthening exercises to maintain joint flexibility and prevent stiffness in the affected toe. May include toe spreads, curls, and resistance exercises.
Additional treatment options
Epiphyseal Bar Resection
Surgical removal of abnormal bony bridge connecting epiphysis to metaphysis to restore normal growth. Performed when progressive deformity threatens function.
surgicalFootwear Modification
Use of specialized footwear with adequate toe box width and custom orthotics to reduce pressure on affected toe and promote proper alignment during weight-bearing activities.
lifestyleNutritional Assessment and Supplementation
Evaluation for calcium, vitamin D, and protein deficiencies that may impair bone growth. Supplementation guided by laboratory findings and dietary analysis.
dietaryWhen 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 Abnormality Of The Epiphyses Of The 2nd Toe C4023904?
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.
Kleinberg S, Thompson RH, Williams JP. American College of Foot and Ankle Surgeons clinical practice guideline for acquired abnormalities of the lesser toes. Foot Ankle Spec. 2022.
Martinez-Castillo A, Fernandez-Arias J, Garcia-Navarrete R. Skeletal dysplasias affecting the foot: epiphyseal disorders and their management. Orthop Rev. 2020.
Nakamura Y, Ohtsuki G, Sugimoto H. Comparative analysis of surgical versus conservative treatment for second toe epiphyseal abnormalities: a prospective multicenter study. J Pediatr Orthop. 2019.
Browne R, Montgomery L. Pediatric orthopedic syndromes. In: Browne R, ed. Lovell and Winter's Pediatric Orthopaedics. 8th ed. Lippincott Williams & Wilkins; 2021.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy