II. Definition

  1. Flexion deformity at proximal interphalangeal joint
  2. Results in depressed tip of toe deformity

III. Etiology

  1. Improperly fitted shoes

IV. Signs

  1. Metatarsal-phalangeal joint (MTP) mild hyperextension
  2. Interphalangeal joint (ITP) flexion deformity
  3. Second toe involvement most common
    1. Especially with second toes longer than great toe
  4. Associated with Hallux Valgus deformity at great toe
  5. Corns or Plantar Callus locations
    1. Distal toe
    2. Dorsum of proximal Interphalangeal joint (ITP)
    3. Beneath Metatarsal heads

V. Management

  1. Mild flexible deformity
    1. StretchingExercises
    2. Over and Under taping to adjacent toes
    3. Toe cap or Crest pad (2 inch cotton dental roll)
      1. Position under second and third toes
    4. Gell-filled corn pad over interphalangeal joint
    5. Properly fitting shoes
  2. Resistant cases of fixed deformity
    1. Surgical correction
    2. Percutaneous flexor tenotomy
      1. Office procedure with small stab incision to the plantar surface (between MTP and PIP)
      2. Lountzis (2007) Wounds 19(3):64-8 [PubMed]

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Related Studies

Ontology: Acquired claw foot (C0158461)

Concepts Acquired Abnormality (T020)
MSH D037801
ICD9 736.74, 735.5
ICD10 M21.53
SnomedCT 86380000, 156857007, 268343006, 203539004, 240256007, 156993005, 10246004
English Claw toe (acquired), Claw foot, acquired, Acquired claw toe, Feet Clawing, 'Clawed' toes, Acquired claw foot, claw toe (physical finding), acquired claw foot (diagnosis), claw toe, claw toe (diagnosis), acquired claw foot, Acquired clawfoot, claw toes, claw feet, clawed toes, claw foot, Claw feet, Claw toe - acquired (disorder), Dysmorphic toes, Claw toe (disorder), Claw Toes, Clawtoe, Clawtoes, Toes, Claw, Toe, Claw, Claw toes, Claw foot, Gampsodactyly, Claw toe - acquired, Claw toe, CT - Claw toe - acquired, CT - Claw toe, Acquired claw toes, Acquired claw foot (disorder), Acquired claw toes (disorder), clawfoot; acquired, clawfoot, clawtoe; acquired, clawtoe, acquired; clawfoot, acquired; clawtoe, Claw Toe
Italian Dito ad artiglio acquisito, Dita del piede ad artiglio (acquisite), Piede cavo con dita in 'griffe', acquisito, Dito ad artiglio
Dutch klauwvoet, verworven, klauwteen (verworven), klauwteen; verworven, klauwvoet; verworven, verworven; klauwteen, verworven; klauwvoet, verworven klauwteen, Hamerteen
French Gampsodactylie, acquise, Rétraction en griffe des orteils (acquise), Orteil en griffe, Orteil en griffe acquis, Orteils en griffes
German Klauenfuss, erworben, Klauenzehe (erworben), Krallenzehe, erworbene Krallenzehe
Portuguese Dedo do pé em garra adquirido, Pé cavo adquirido, Dedo do Pé em Garra, Deformação dos dedos do pé adquirida
Spanish Dedo de pie en garra (adquirido), Pie en garra adquirido, Dedo del Pie en Garra, dedos del pie en garra adquiridos (trastorno), dedos del pie en garra adquiridos, gampsodactilia, pie en garra adquirido (trastorno), pie en garra adquirido, pie en garra, Malformación adquirida en garra de los dedos de los pies
Japanese 後天性鉤爪足, 鉤爪趾(後天性), 後天性鉤爪趾, カギツメユビコウテンセイ, コウテンセイカギツメユビ, コウテンセイカギツメアシ, コウテンセイカギツメシ, コウテンセイカギツメソク, カギツメシコウテンセイ
Czech drápový prst, Získaná drápovitá noha, Získaný drápovitý prst nohy, Drápovitý prst nohy (získaný)
Hungarian Szerzett karmos lábujj, Karmos lábújj (szerzett), Boltíves láb (pes cavus), szerzett
Norwegian Klotå

Ontology: Hammer Toe (C1136179)

Concepts Anatomical Abnormality (T190)
MSH D037801
SnomedCT 281500001, 156856003, 122481008
English HT - Hammer toe, Hammertoes, Hammer toes, hammer toe, hammertoe, hammer toe (physical finding), Hammer Toe, hammer toes, toe hammer, hammered toes, toes hammer, Hammer Toes, Toe, Hammer, Toes, Hammer, Hammertoe, Hammer toe, Hammer toe (disorder)
Portuguese Dedo do Pé em Martelo, Dedo do pé em martelo
Spanish Dedo de pie en martillo, Dedo del Pie en Martillo, dedo en martillo (trastorno), dedo en martillo, dedo de pie en martillo, dedo de pie en martillo (trastorno), dedo del pie en martillo de articulación interfalángica proximal(trastorno), dedo del pie en martillo de articulación interfalángica proximal
Dutch hamerteen, Hamerteen
Italian Dito del piede a martello, Dito a martello
Japanese ハンマーユビ, ハンマーシ, ハンマー趾
French Orteil en marteau
German Hammerzehe
Czech Kladívkový prst, kladívkový prst
Hungarian Kalapácsujj lábon
Norwegian Hammertå