eMedicine Specialties > Orthopedic Surgery > Foot & Ankle
Fifth-Toe Deformities: Workup
Updated: Dec 19, 2008
Workup
Laboratory Studies
- The only laboratory studies needed are standard preoperative tests.
Imaging Studies
- Standard anteroposterior, lateral, and oblique weight-bearing radiographs are obtained as part of the initial workup.
- Lesion markers can be applied over the hard and soft corns to help identify the correct underlying condyle.
- Anteroposterior and oblique views readily show exostosis, enlarged condyles, and varus deformity of the toe.
- The lateral view is helpful in identifying the severity of the dorsal and plantar contractures at the MTPJ and PIPJ.
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Workup: Fifth-Toe Deformities |
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References
Cooper PS. Disorders and deformity of the lesser toes. In: Myerson MS, ed. Foot and Ankle Disorders. 2000: 340-5.
Ely LW. Hammertoe. Surg Clin N Am. 1926;6:433.
Higgs SL. Hammertoe. Med Press. 1931;131:473.
Dereymaeker G, van der Broek C. Biphalangeal fifth toe. Foot Ankle Int. Nov 2006;27(11):948-51. [Medline].
Mills GP. The etiology and treatment of claw-toe. J Bone Joint Surg. 1924;6:142.
Schnepp KH. Hammertoe and claw foot. Am J Surg. 1933;36:351.
Jacobs R, Vandeputte G. Flexor tendon lengthening for hammer toes and curly toes in paediatric patients. Acta Orthop Belg. Jun 2007;73(3):373-6. [Medline].
Togashi S, Nakayama Y, Hata J, Endo T. A new surgical method for treating lateral ray polydactyly with brachydactyly of the foot: lengthening the reconstructed fifth toe. J Plast Reconstr Aesthet Surg. 2006;59(7):752-8. [Medline].
Soule RE. Operation for the correction of hammertoe. N Y Med J. 1910;91:649.
Bouché RT, Heit EJ. Combined plantar plate and hammertoe repair with flexor digitorum longus tendon transfer for chronic, severe sagittal plane instability of the lesser metatarsophalangeal joints: preliminary observations. J Foot Ankle Surg. Mar-Apr 2008;47(2):125-37. [Medline].
Konkel KF, Menger AG, Retzlaff SA. Hammer toe correction using an absorbable intramedullary pin. Foot Ankle Int. Aug 2007;28(8):916-20. [Medline].
Ruiz-Mora J. Plastic correction of overriding 5th toe. Orthop Lett Club. 1954;6:6.
Janecki CJ, Wilde AH. Results of phalangectomy of the fifth toe for hammertoe. The Ruiz-Mora procedure. J Bone Joint Surg Am. Oct 1976;58(7):1005-7. [Medline].
Schuh A, Werber S, Zeiler G, Schraml A. [Experiences with the Butler procedure for overlapping fifth toe]. Zentralbl Chir. Apr 2005;130(2):153-6. [Medline].
Wilson JN. V-Y correction for varus deformity of the fifth toe. Br J Surg. Sep 1953;41(166):133-5. [Medline].
Lapidus P. Transplantation of the extensor tendon for correction of the overlapping 5th toe. J Bone Joint Surg. 1942;24:555.
Thompson FM, Hamilton WG. Problems of the second metatarsophalangeal joint. Orthopedics. Jan 1987;10(1):83-9. [Medline].
Thompson FM, Deland JT. Flexor tendon transfer for metatarsophalangeal instability of the second toe. Foot Ankle. Sep 1993;14(7):385-8. [Medline].
Keywords
fifth-toe deformities, toe deformities, hard corns, heloma durum, helomata durum, soft corns, heloma molles, helomata molle, ainhum, hammertoes, hammer toes, claw toes, overlapping toes, underlapping toes, curly toes, congenital varus toes, cock-up toes, little toe, small toes, kissing corns, epidermal hyperkeratosis, Ruiz-Mora procedure, syndactylization, arthroplasty, Z-plasty, flail toe, dorsiflexion contracture, plantarflexion contracture, capsulotomy, DuVries procedure, skin plasty, pinky toe pain, pinky toe deformity, toe pain, intrac table plantar keratosis, clavus, bunionette, pes cavus
Workup: Fifth-Toe Deformities