2nd Trimester

sandal gap deformity

I found out yesterday that we are having a baby GIRL!! Yay! But then the doctor said she has sandal  gap deformity. The doctor sent us on a second opinion to a hospital but has anyone gone through this? How did you handle this? I did some research but not much info. does it always mean it has to do with downs syndrome?

Re: sandal gap deformity

  • This is the first answer I got through google- sounds hopeful.  Were there other markers?  IS he sending you to a geneticist? Good luck.

    No, just a risk factor.

    Sandal gap deformity
    Sandal gap deformity involves medial displacement of the great toe, giving rise to a greater than normal space between the first and second toes (Fig. 10). Separation of the great toe has been reported in 45% of children with Down syndrome, but is not a typical finding in other syndromes (10).

    The deformity may, however, be a normal variant, occurring in many normal fetuses or neonates.

    If the findings of prenatal sonographic examination suggest sandal gap deformity, a careful search for other risk factors for Down syndrome is recommended. An awareness and understanding of any such abnormalities, even subtle ones, should -especially with regard to karyotyping- increase a practitioner's confidence during parental counseling. If no other abnormality is present, including clinical risk factors, separation of the great toe can be accepted as a normal variant
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  • Congratulations on the girl!!  Like pp said, SGD just seems to be a risk factor.  Keep us posted on the testing and dr visits.
  • Thank you .. so worried ..
  • Hello,
    I know this is an old post so not sure if I'll even get a reply, but my baby girl apparently has sandal gap foot.  Just wondering how everything turned out wit you and your little one?
    Thanks!
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