Which toe deformity is associated with Down syndrome and involves increased distance between the first and second toes?

Which toe deformity is associated with Down syndrome and involves increased distance between the first and second toes?

• A. sandal toe deformity
• B. hallux valgus
• C. brachydactyly
• D. overlapping toes

Answer: (A)

The main idea is recognizing a Down syndrome–associated foot sign: sandal toe deformity, which describes a noticeably widened gap between the big toe and the second toe. This sandal gap is a classic physical clue sometimes described in Down syndrome. It differs from hallux valgus, which is a bunion with outward deviation of the big toe; from brachydactyly, which means short toes; and from overlapping toes, where toes touch or lie over one another. So the increased distance between the first and second toes is the hallmark of sandal toe deformity.

The main idea is recognizing a Down syndrome–associated foot sign: sandal toe deformity, which describes a noticeably widened gap between the big toe and the second toe. This sandal gap is a classic physical clue sometimes described in Down syndrome. It differs from hallux valgus, which is a bunion with outward deviation of the big toe; from brachydactyly, which means short toes; and from overlapping toes, where toes touch or lie over one another. So the increased distance between the first and second toes is the hallmark of sandal toe deformity.