Orthopedics Book

Fracture Management

Hindfoot

Great Toe

Toes

Blisters

Flatfoot

Forefoot

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Anatomy Chapter related topics

Examination Chapter related topics

Symptoms Chapter related topics

Radiology Chapter related topics

Prevention Chapter related topics

Procedure Chapter related topics

General 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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