MyMedR

Fulltext Claw toes correction and factor XIII deficiency--a case report

Deshmukh RG, Bosco J

Med J Malaysia, 1995 Dec;50(4):417-9.

A 26-year-old male presented with claw toes and Factor XIII deficiency. Correction for his deformity was undertaken. Pre, intra and post-operative transfusions of plasma and blood prevented any haemorrhagic complications.

Matched MeSH terms: Toes/abnormalities*; Toes/surgery

Incidence of abnormalities of the toe clefts among British troops in Malaya

INGHAM FJ, REED TA

J R Army Med Corps, 1959 Oct;105:182-6.

PMID: 13852827

Matched MeSH terms: Toes*

Fulltext The effect on human balance of standing with toe-extension

Ku PX, Abu Osman NA, Yusof A, Wan Abas WA

PLoS One, 2012;7(7):e41539.

PMID: 22848523 DOI: 10.1371/journal.pone.0041539

Postural balance is vital for safely carrying out many daily activities, such as locomotion. The purpose of this study was to determine how changes in normal standing (NS) and standing with toe-extension (SWT) impact postural control during quiet standing. Furthermore, the research aimed to examine the extent to which the effect of these factors differed between genders.

Matched MeSH terms: Toes*

A SWEAT GLAND TUMOUR OF THE MIXED-SALIVARY TYPE OF THE RIGHT MIDDLE TOE

KHOO TK, TZE KB

Med J Malaysia, 1964 Dec;19:128-33.

PMID: 14279235

Matched MeSH terms: Toes*

Fulltext The effects of ground water level fluctuation on slope stability by using Slopew

Jestin Jelani, Nur Amirah Adnan, Hapsa Husen, Mohd Nazrin Mohd Daud, Suriyadi Sojipto

ZULFAQAR International Journal of Defence Science, Engineering & Technology, 2020;3(1):1-7.

MyJurnal

This study is a continuation of previous research work conducted by the author on the stability of man-made slope constructed in UPNM campus. This paper presents the effects of ground water level (GWL) fluctuation on slope stability by using numerical simulation program, SlopeW. Ground water rises were simulated from 5m below the ground until 10m above the ground. Soil samples were taken from the site and tested in laboratory and then were incorporated into the program. It was found that the stability of the slope decreased with an increase of GWL. The critical slip surface formed by each case study is categorised as toe failure with circular and non-circular shapes.

Matched MeSH terms: Toes

Poh-tay-toe, Poh-tah-toe: Autism Diagnosis and Conceptualization

Leong D, Hedley D, Uljarević M

J Child Neurol, 2020 03;35(3):247-248.

PMID: 31726922 DOI: 10.1177/0883073819887587

Matched MeSH terms: Toes

Gangrene of the foot following peripheral phlebography

Leong YP, Jasmi AY

J R Coll Surg Edinb, 1991 Jun;36(3):180-1.

PMID: 1920234

Matched MeSH terms: Toes/surgery

The effects of toe-out and toe-in postures on static & dynamic balance, risk of fall and TUG score in healthy adults

Khan SJ, Khan SS, Usman J

Foot (Edinb), 2019 Jun;39:122-128.

PMID: 30580888 DOI: 10.1016/j.foot.2018.06.002

BACKGROUND: Toe-in and toe-out foot positions have not yet been tested for dynamic balance and risk of fall. The aim of this study was to investigate the effects of these two modifications on static and dynamic postural stability and risk of fall through instrumental (Biodex Balance System®) and functional (timed up and go-TUG test) tools.

METHODOLOGY: Twenty healthy adults (8 males, 12 females, age: 29±4.10years, BMI: 21.56±2.36kg/m2) participated in this study. Static and dynamic (levels 8 and 2) balance with single stance and double stance and dynamic (level 8 and levels 6-2) for risk of fall with double stance were tested with the Biodex Balance System with three self-selected feet positions: straight (13.8°), toe-out (35.6°) and toe-in (-11.9°) for each test condition. Additionally, TUG test was performed with toe-out and toe-in gait.

RESULTS: The results of repeated measures ANOVA showed significant differences (p<0.05) between straight and modified toe angles in balance at dynamic level 2 with both double and single stance conditions. Significant differences (p<0.001) were also found in TUG scores for the test conditions.

CONCLUSION: Toe-in and toe-out gait modifications have significant effects on balance at higher levels of platform tilt and functional balance. Further investigations with knee osteoarthritis patients and electromyography may provide insight in balancing strategies adopted by the body in toe-out and toe-in gait.

Matched MeSH terms: Toes/physiology*

A patient with progressive shortening of the fingers

Letchumanan P, Thumboo J, Leong RT

J Rheumatol, 2009 Jan;36(1):198-9.

PMID: 19208534 DOI: 10.3899/jrheum.080859

Matched MeSH terms: Toes/radiography

A new insular species of Rock Gecko (Cnemaspis Boulenger) from Pulau Langkawi, Kedah, Peninsular Malaysia

Grismer LL, Wood PL, Quah ES, Anuar S, Ngadi E, Ahmad N

Zootaxa, 2015 Jul 10;3985(2):203-218.

PMID: 26250030 DOI: 10.11646/zootaxa.3985.2.2

A new, diminutive species of Rock Gecko Cnemaspis mahsuriae sp. nov. of the affinis group, is described from Gunung Raya on Pulau Langkawi, Kedah, Peninsular Malaysia and is differentiated from all other species in the affinis group by having a unique combination of characters including a maximum SVL of 36.6 mm; keeled subtibials and ventrals; 21-24 paravertebral tubercles; no tubercles in the lateral caudal furrows; caudal tubercles not encircling tail; no precloacal pores; 23-26 subdigital lamellae on the fourth toe; no white ocelli in the shoulder region; no yellow postscapular band; and faint yellow bars on the flanks. Cnemaspis mahsuriae sp. nov. is a forest-dwelling species living in close sympatry or paraptry with the insular endemic C. roticanai Grismer & Chan. The Langkawi Archipelago harbors a unique mix of Malaysian and Indochinese taxa and the frequency of new discoveries from this group of islands is increasing.

Matched MeSH terms: Toes

Fulltext Muscles Affecting Minimum Toe Clearance

Perera CK, Gopalai AA, Ahmad SA, Gouwanda D

Front Public Health, 2021;9:612064.

PMID: 34136448 DOI: 10.3389/fpubh.2021.612064

The aim of this study was to investigate how the anterior and posterior muscles in the shank (Tibialis Anterior, Gastrocnemius Lateralis and Medialis), influence the level of minimum toe clearance (MTC). With aging, MTC deteriorates thus, greatly increasing the probability of falling or tripping. This could result in injury or even death. For this study, muscle activity retention taping (MART) was used on young adults, which is an accepted method of simulating a poor MTC-found in elderly gait. The subject's muscle activation was measured using surface electromyography (SEMG), and the kinematic parameters (MTC, knee and ankle joint angles) were measured using an optical motion capture system. Our results indicate that MART produces significant reductions in MTC (P < α), knee flexion (P < α) and ankle dorsiflexion (P < α), as expected. However, the muscle activity increased significantly, contrary to the expected result (elderly individuals should have lower muscle activity). This was due to the subject's muscle conditions (healthy and strong), hence the muscles worked harder to counteract the external restriction. Yet, the significant change in muscle activity (due to MART) proves that the shank muscles do play an important role in determining the level of MTC. The Tibialis Anterior had the highest overall muscle activation, making it the primary muscle active during the swing phase. With aging, the shank muscles (specifically the Tibialis Anterior) would weaken and stiffen, coupled with a reduced joint range of motion. Thus, ankle-drop would increase-leading to a reduction in MTC.

Matched MeSH terms: Toes

Fulltext Fungistatic effect of hydroxychloroquine, lessons from a case

Keshavarzi F

Med Mycol Case Rep, 2016 Sep;13:17-18.

PMID: 27709021

A 50-year-old male was prescribed with hydroxychloroquine (HCQ) after osteoarthritis was diagnosed. He had an old nail infection of Aspergillus niger. A remarkable improvement of the symptoms of fungal nail infection was seen after about four weeks of treatment with HCQ. It was very hard to detect the symptoms in the end of the second month of the treatment, both in the finger and toe nails. The symptoms were clearly recurred after HCQ was discontinued.

Matched MeSH terms: Toes

Fulltext Giant Cell Reparative Granuloma Mimicking Aneurysmal Bone Cyst in Proximal Phalanx of Toe

Huan CM, Norzila AB

Malays Orthop J, 2016 Mar;10(1):55-56.

PMID: 28435549 MyJurnal DOI: 10.5704/MOJ.1603.011

Giant Cell Reparative Granuloma (GCRG) of phalanx is uncommon. It is a benign osteolytic lesion but can be locally aggressive. GCRG has certain radiology and histological features that are similar to other giant cell lesions of the bone. We present a case report of a young patient with giant cell reparative granuloma of proximal phalanx of left third toe. The bone lesion was successfully treated surgically.

Matched MeSH terms: Toes

Fulltext First and Second Metatarsophalangeal Joint Open Dislocations: A Case Report

Sharma A, Dosajh R, Bedi GS, Gupta K, Jain A

Malays Orthop J, 2017 Mar;11(1):71-73.

PMID: 28435580 DOI: 10.5704/MOJ.1703.010

Dislocation of multiple metatarsophalangeal joint is an uncommon injury. The mechanism of injury is a high energy force distal to proximal with foot in hyperextension at the metatarsophalangeal (MTP) joint. The acute hyperextension of the toe at the moment of injury causes avulsion of the plantar part of the capsule from the junction of head and neck of the metatarsal. If the collateral ligaments remain intact, they maintain the locked fibrocartilaginous plate over the dorsum of the head of the metatarsal, making closed reduction impossible. We report a case of simultaneous 1st and 2nd MTP joint open dislocation. In the present case, we chose the plantar approach utilizing the already present plantar wound. At 18 months post-operative follow-up, there was no instance of redislocations or signs of avascular necrosis of head of metatarsal.

Matched MeSH terms: Toes

Advances in Pediatric Toe Transfers

Shen XF, Khoo SS

Hand Clin, 2024 May;40(2):237-248.

PMID: 38553095 DOI: 10.1016/j.hcl.2023.10.004

Microsurgery is undoubtedly the pinnacle of hand surgery. Significant advancement in recent years has stretched the indications for toe-to-hand transfer in both acquired and congenital hand defects to restore function, esthetics, and motion, with minimal morbidity to the donor site. There is no one fixed microsurgical transfer technique but a surgeon's versatility and innovation in using what one could spare because each case is unique. Esthetic refinements and reducing donor site morbidities have taken a front seat in recent years. We present a few cases to put forward the senior author's preferred techniques with this objective in mind.

Matched MeSH terms: Toes

A rare case of diplopodia and syndactyly: anatomical and surgical considerations

Kadir KH, Abdul Rashid AH, Das S, Ibrahim S

J Foot Ankle Surg, 2011 Mar-Apr;50(2):252-6.

PMID: 21354013 DOI: 10.1053/j.jfas.2010.10.017

Diplopodia is a rare congenital disorder that has not been extensively discussed in textbooks, and case reports appear to be the main source of information. Although the exact cause of diplopodia remains unknown, the presence of extra digits as well as metatarsals and tarsals allows it to be differentiated from pedal polydactyly. Syndactyly refers to the congenital fusion of the digits. Concomitant bilateral syndactyly and diplopodia is extremely unusual, and in this report we describe a case of right diplopodia and left polydactyly combined with bilateral manual syndactyly in a 15-year-old girl who was ultimately treated with through-the-knee amputation. Radiological examination of the right leg revealed tibial hypoplasia and the right foot displayed 8 digits with corresponding metatarsals and tarsals, whereas the left leg revealed 2 extra digits on the medial aspect of the foot with corresponding metatarsal and tarsal bones. Anatomical dissection of the right foot revealed that it was divided into halves consisting of 8 toes with corresponding metatarsals and tarsals, as well as tibial hypoplasia and absence of the great toe. Diplopodia associated with tibial hypoplasia and syndactyly can be treated surgically, and the present case report details the clinical, radiological, and anatomical elements of this rare deformity.

Matched MeSH terms: Toes/abnormalities; Toes/surgery*

Fulltext Root architecture, rooting profiles and physiological responses of potential slope plants grown on acidic soil

Dorairaj D, Suradi MF, Mansor NS, Osman N

PeerJ, 2020;8:e9595.

PMID: 32904129 DOI: 10.7717/peerj.9595

Globally, there has been an increase in the frequency of landslides which is the result of slope failures. The combination of high intensity rainfall and high temperature resulted in the formation of acidic soil which is detrimental to the healthy growth of plants. Proper plant coverage on slopes is a prerequisite to mitigate and rehabilitate the soil. However, not all plant species are able to grow in marginal land. Thus, this study was undertaken to find a suitable slope plant species. We aimed to evaluate the effect of different soil pH on root profiles and growth of three different potential slope plant species namely, Melastoma malabathricum, Hibiscus rosa-sinensis and Syzygium campanulatum. M. malabathricum showed the highest tolerance to acidic soil as it recorded the highest plant height and photosynthetic rate. The root systems of M. malabathricum, H. rosa-sinensis and S. campanulatum were identified as M, VH- and R-types, respectively. The study proposed M. malabathricum which possessed dense and shallow roots to be planted at the toe or top of the slope while H. rosa-sinensis and S. campanulatum to be planted in the middle of a slope. S. campanulatum consistently recorded high root length and root length density across all three types of soil pH while M. malabathricum showed progressive increase in length as the soil pH increased. The root average diameter and root volume of M. malabathricum outperformed the other two plant species irrespective of soil pH. In terms of biomass, M. malabathricum exhibited the highest root and shoot dry weights followed by S. campanulatum. Thus, we propose M. malabathricum to be planted on slopes as a form of soil rehabilitation. The plant species displayed denser rooting, hence a stronger root anchorage that can hold the soil particles together which will be beneficial for slope stabilization.

Matched MeSH terms: Toes

Fulltext Bilateral brachymetatarsia: a rare case report

Norliyana, M., Mohd Yazid, B., Abdul Muhaimin, A.

Medicine & Health, 2018;13(1):279-285.

MyJurnal

Brachymetatarsia is a conditioned which has been described as abnormal short metatarsal bone due to premature closure of the epiphyseal growth plate. It usually involves a single metatarsal bone with the fourth metatarsal being the most common. It may be congenital or acquired. We here report a case in a 53-yearold lady who presented with foot pain and shoe wearing problem. Examination revealed shortening of the bilateral fourth toe and the toes were tilted dorsally. She was diagnosed with bilateral brachymetatarsia and operation was done mainly for cosmetic reasons. Gradual lengthening with distraction osteogenesis was performed using a MiniRail external fixator (Orthofix) and K-wiring of the right fourth metatarsophalangeal joint. Adequate length of fourth metatarsal and good bony union were achieved at the end of treatment.

Matched MeSH terms: Toes

Fulltext A new insular species of skink of the genus Sphenomorphus Strauch 1887 (Squamata: Scincidae) from Pulau Perhentian Besar, Terengganu, Peninsular Malaysia

Grismer, Lee L., Wood, Perry Lee Jr., Grismer, Jesse Leland

Trop Life Sci Res, 2009;20(1):-.

MyJurnal

A new species of small, insular, forest floor skink, Sphenomorphus perhentianensis sp. nov., is described from Pulau Perhentian Besar of the Perhentian Archipelago, Peninsular Malaysia. This species is differentiated from all other 36 Sundaland species of Sphenomorphus based on a unique collection of morphological and colour pattern characteristics. These unique characteristics include a snout-vent length of 30.0 mm, 29 midbody scale rows, smooth as opposed to striated dorsal scales, 65 paravertebrals, 61 ventrals, 4 supraoculars, parietals contacting the posterior-most supraocular, 1 medially projecting superciliary scale, 2 loreals, 6 supralabials and infralabials, 10 lamellae beneath the fourth toe, smooth subdigital lamellae, enlarged preanal scales, no body bands, a dark brown, diffuse, dorsolateral stripe extending to just past the axilla, a cream coloured dorsolateral stripe on the nape and anterior-most portion of the body, and no cream coloured postorbital stripe. The discovery of a second endemic reptile in the Perhentian Archipelago underscores the unrealized biodiversity of its herpetofauna. Additional works will describe two additional species from the Perhentian Archipelago.

Matched MeSH terms: Toes

Fulltext Toe-tourniquet syndrome: A rare potentially devastating entity

Baloch N, Atif M, Rashid RH, Hashmi PM

Malays Orthop J, 2015 Nov;9(3):55-57.

PMID: 28611912 DOI: 10.5704/MOJ.1511.008

Toe-tourniquet syndrome is a rare and commonly misdiagnosed condition caused by a hair or a fiber wrapped around digits (fingers and toes). A four months baby girl who was crying and presented with redness and swelling at her 2nd and 3rd toes of right foot. Child had red and swollen 2nd and 3rd toes of right foot with hair end protruding through wounds. Constricting hairs were cut and removed. Toetourniquet syndrome is a rare entity which is caused by hair wrapped around a toe or a digit. Diagnosis is mostly clinical. In order to prevent this condition to happen, education of parents and clinicians is a cornerstone.

Matched MeSH terms: Toes

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