eMedicine Specialties > Orthopedic Surgery > Foot & Ankle

Mallet Toe: Workup

Author: Christopher Brown, MBBS, FRCS(C), FRACS, FAOrthA, Clinical Lecturer, Department of Orthopaedics and Trauma, University of Adelaide, Australia
Coauthor(s): Nancy Cullen, MD, FRCSC, FRACS, Senior Visiting Medical Officer, Clinical Lecturer, Department of Orthopaedics and Trauma, University of Adelaide, Australia
Contributor Information and Disclosures

Updated: Jan 11, 2009

Workup

Laboratory Studies

  • Obtain routine preoperative hematology.
  • In addition, undertake investigation for intercurrent medical problems (eg, diabetes) prior to surgery.
  • Patients on methotrexate or similar medications may need hematologic monitoring prior to surgery.
  • General preoperative studies, such as urinalysis, may be needed depending on the patient's medical condition.

Imaging Studies

  • Obtain weight-bearing radiographs to assess the whole foot.
  • Occasionally, specific films of the distal interphalangeal (DIP) joint may be obtained. Dental plates can be useful for these small images.
  • If underlying neurologic pathology is suspected, films appropriate for this workup may be needed, such as a CT scan of the spine or an MRI.
  • Infection may be an indication for technetium or gallium bone scans.
  • Preoperative chest films may be needed, depending on the patient's medical condition and age.

Other Tests

  • Preoperative electrocardiography (ECG) may be needed, depending on the patient's general medical condition or age.

More on Mallet Toe

Overview: Mallet Toe
Workup: Mallet Toe
Treatment: Mallet Toe
Follow-up: Mallet Toe
Multimedia: Mallet Toe
References
Further Reading

References

  1. Cooper PS. Disorders and Deformities of the Lesser Toes. In: Myerson MS, ed. Foot and Ankle Disorders. Philadelphia, Pa: WB Saunders; 2000:321-322.

  2. Coughlin MJ. Mallet toes, hammer toes, claw toes, and corns. Causes and treatment of lesser-toe deformities. Postgrad Med. Apr 1984;75(5):191-8. [Medline].

  3. Lancaster SC, Sizensky JA, Young CC. Acute mallet toe. Clin J Sport Med. May 2008;18(3):298-9. [Medline].

  4. Schuh A, Hönle W. [Deformities of the smaller toes]. MMW Fortschr Med. Feb 21 2008;150(8):37, 39. [Medline].

  5. Coughlin MJ. Operative repair of the mallet toe deformity. Foot Ankle Int. Mar 1995;16(3):109-16. [Medline].

  6. Nakamura S. Temporary Kirschner wire fixation for a mallet toe of the hallux. J Orthop Sci. Mar 2007;12(2):190-2. [Medline].

Further Reading

A mallet toe is a fixed or flexible deformity of the distal interphalangeal (DIP) joint of the toe.

Related eMedicine topics:

Claw Toe

Hammertoe Deformity

Keywords

mallet toe, toe pain, toe callus, mallet toe deformity, hammertoe deformity, claw toe, toe deformity, diabetic foot, diabetic foot, clavus

Contributor Information and Disclosures

Author

Christopher Brown, MBBS, FRCS(C), FRACS, FAOrthA, Clinical Lecturer, Department of Orthopaedics and Trauma, University of Adelaide, Australia
Christopher Brown, MBBS, FRCS(C), FRACS, FAOrthA is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Foot and Ankle Society
Disclosure: Nothing to disclose.

Coauthor(s)

Nancy Cullen, MD, FRCSC, FRACS, Senior Visiting Medical Officer, Clinical Lecturer, Department of Orthopaedics and Trauma, University of Adelaide, Australia
Nancy Cullen, MD, FRCSC, FRACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Foot and Ankle Society
Disclosure: Nothing to disclose.

Medical Editor

Heidi M Stephens, MD, Associate Professor, Department of Surgery, Division of Orthopedic Surgery, Director of Diabetic Foot Clinic, Assistant Dean for Clinical Outreach, University of South Florida College of Medicine; Courtesy Joint Associate Professor, Department of Environmental and Occupational Health, University of South Florida College of Public Health
Heidi M Stephens, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American Medical Association, American Orthopaedic Foot and Ankle Society, and Florida Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

N Ake Nystrom, MD, PhD, Associate Professor of Orthopedic Surgery and Plastic Surgery, University of Nebraska Medical Center
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Jason H Calhoun, MD, FAAOS, Chairman, J Vernon Luck Distinguished Professor, Department of Orthopedic Surgery, University of Missouri
Jason H Calhoun, MD, FAAOS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, and American Orthopaedic Foot and Ankle Society
Disclosure: Nothing to disclose.

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