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Mallet Toe Workup

  • Author: Christopher Brown, MBBS, FRCSC, FRACS, FAOrthA; Chief Editor: Jason H Calhoun, MD, FACS  more...
 
Updated: Sep 17, 2014
 

Imaging Studies

Obtain weightbearing 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, studies appropriate for this workup may be needed (eg, computed tomography [CT] of the spine or magnetic resonance imaging [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.

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Other Tests

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

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Laboratory Studies

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

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Contributor Information and Disclosures
Author

Christopher Brown, MBBS, FRCSC, FRACS, FAOrthA Clinical Lecturer, Department of Orthopaedics and Trauma, University of Adelaide, Australia

Christopher Brown, MBBS, FRCSC, FRACS, FAOrthA is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Australian Orthopaedic Association, American Orthopaedic Foot and Ankle Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

N Ake Nystrom, MD, PhD Associate Professor of Orthopedic Surgery and Plastic Surgery, University of Nebraska Medical Center

Disclosure: Nothing to disclose.

Chief Editor

Jason H Calhoun, MD, FACS Department Chief, Musculoskeletal Sciences, Spectrum Health Medical Group

Jason H Calhoun, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Diabetes Association, American Medical Association, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, Michigan State Medical Society, Missouri State Medical Association, Southern Medical Association, Southern Orthopaedic Association, Texas Medical Association, Texas Orthopaedic Association, Musculoskeletal Infection Society

Disclosure: Nothing to disclose.

Additional Contributors

Heidi M Stephens, MD, MBA Associate Professor, Department of Surgery, Division of Orthopedic Surgery, 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, MBA 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, Florida Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

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.

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. 1984 Apr. 75(5):191-8. [Medline].

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

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

  5. Molloy A, Shariff R. Mallet toe deformity. Foot Ankle Clin. 2011 Dec. 16(4):537-46. [Medline].

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

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

  8. Waizy H, Abbara-Czardybon M. [Arthodesis of the proximal and distal interphalangeal joint]. Oper Orthop Traumatol. 2014 Jun. 26(3):307-21; uqiz 322. [Medline].

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Classic mallet toe. Note flexion when toe is dorsiflexed.
 
 
 
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