II. Definition
- Often bilateral
- Overlapping of fifth toe over fourth toe
III. Epidemiology
- Familial
IV. Pathophysiology
- Involves dorsal Metatarsal-phalangeal joint (MTP)
- Shortened capsule and extensor tendon
- Shortening does not allow passive correction
V. Signs
- Overlapping fifth toe over fourth
- Calluses on dorsum of fifth toe
- Results from local shoe irritation
VI. Management
- Mild deformity
- Passive Stretching
- May be ineffective
- Surgery
- Surgical realignment of fifth toe
- Amputation of fifth toe