Ogilvie-Harris DJ, Carr MM, Fleming PJ: The foot in ballet dancers: the importance of second toe length. .Foot Ankle Int 16::144. ,1995. .
Viladot A: “The Metatarsals,” in Disorders of the Foot, Vol 1, ed by MH Jahss, p 659, WB Saunders, Philadelphia. ,1982. .
Einarsdottir H, Troell S, Wykman A: Hallux valgus in ballet dancers: a myth?. Foot Ankle Int 16::92. ,1995. .
Quirk R: Common foot and ankle injuries in dance. .Orthop Clin North Am 25::123. ,1994. .
Tuckman AS, Werner FW, Bayley JC: Analysis of the forefoot on pointe in the ballet dancer. .Foot Ankle Int 12::144. ,1991. .
Kravitz SR, Fink KL, Huber S, et al: Osseous changes in the second ray of classical ballet dancers. .JAPMA 75::346. ,1985. .
Harrington T, Crichton KJ, Anderson IF: Overuse ballet injury of the base of the second metatarsal: a diagnostic problem. .Am J Sports Med 21::591. ,1993. .
Sammarco GJ, Miller EH: Forefoot conditions in dancers: part I. .Foot Ankle Int 3::85. ,1982. .
Background: Although there is no ideal foot type for classical dancers, second-toe length seems to be a factor in the etiology of foot disorders in ballet dancers.
Methods: We investigated the relationship between second-toe length and foot disorders in 30 ballet dance students and 25 folk dance students. Second-toe length in relation to the hallux (longer or equal/shorter), hallux deformities, first metatarsophalangeal joint inflammation, number of callosities, and daily pain scores were recorded in both groups and compared.
Results: There was no statistically significant difference in toe length between the two groups (P > .05). Ballet dancers with equal-length or shorter second toes had lower pain scores, less first metatarsophalangeal joint inflammation, and fewer callosities in their feet compared with dancers with longer second toes.
Conclusions: Second-toe length seems to be a factor in the development of forefoot disorders in classical ballet dancers but not folk dancers. Dancers who have equal-length or shorter second toes in relation to the hallux may have fewer forefoot disorders as dance professionals. (J Am Podiatr Med Assoc 97(5): 385–388, 2007)