Outcome and Prognosis
Most series found excellent results in 85-97% of cases. Tenotomy seemed to increase satisfaction rates in some series. Bony union of the distal interphalangeal joint where resection was carried out had higher satisfaction rates than fibrous union.
Future and Controversies
Treatment of this condition is relatively straightforward. Some controversy exists over the need for flexor tenotomy when distal interphalangeal (DIP) joint fusion is attempted and whether this leads to a higher incidence of hyperextension deformity and proximal interphalangeal (PIP) joint flexion at the adjacent PIP joint.
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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
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