Orthopedics Book

Forefoot

Hindfoot

Fracture Management

Blisters

Flatfoot

Great Toe

Midfoot

Toes

Rheumatology Chapter related topics

Pediatrics Chapter related topics

Anatomy Chapter related topics

Examination Chapter related topics

Prevention Chapter related topics

Procedure Chapter related topics

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Symptoms Chapter related topics

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Congenital Overlapping Fifth Toe

Aka: Congenital Overlapping Fifth Toe
  1. Definition
    1. Often bilateral
    2. Overlapping of fifth toe over fourth toe
  2. Epidemiology
    1. Familial
  3. Pathophysiology
    1. Involves dorsal Metatarsal-phalangeal joint (MTP)
      1. Shortened capsule and extensor tendon
      2. Shortening does not allow passive correction
  4. Signs
    1. Overlapping fifth toe over fourth
    2. Calluses on dorsum of fifth toe
      1. Results from local shoe irritation
  5. Management
    1. Mild deformity
      1. Passive Stretching
      2. May be ineffective
    2. Surgery
      1. Surgical realignment of fifth toe
      2. Amputation of fifth toe

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