Orthopedics Book

Joint dislocation




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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