Orthopedics Book

Hindfoot

Fracture Management

Forefoot

Blisters

Flatfoot

Great Toe

Midfoot

Toes

Procedure Chapter related topics

Rheumatology Chapter related topics

Anatomy Chapter related topics

Examination Chapter related topics

Symptoms Chapter related topics

Radiology Chapter related topics

Pediatrics Chapter related topics

Prevention 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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