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.
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References
Cooper PS. Disorders and Deformities of the Lesser Toes. In: Myerson MS, ed. Foot and Ankle Disorders. Philadelphia, Pa: WB Saunders; 2000:321-322.
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].
Lancaster SC, Sizensky JA, Young CC. Acute mallet toe. Clin J Sport Med. May 2008;18(3):298-9. [Medline].
Schuh A, Hönle W. [Deformities of the smaller toes]. MMW Fortschr Med. Feb 21 2008;150(8):37, 39. [Medline].
Coughlin MJ. Operative repair of the mallet toe deformity. Foot Ankle Int. Mar 1995;16(3):109-16. [Medline].
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
Workup: Mallet Toe