Cutaneous Syndactyly Injury

A 38 years old gentleman presented to orthopaedic outpatient department with complains of pain in the left foot following a twisting injury. On examination, it was noticed that the patient had deformed toes in both the feet since birth. The deformity was not associated with any other complains. There was no familial history of the same. General and systemic examination of the patient was within normal limits. There was no history of any congenital condition which might point towards any syndrome.
In detailed local examination of Left foot, the patient had a single great toe which was broader than the right great toe. The skin condition was normal. The second toe was completely absent while there was cutaneous syndactyly in third and fourth