Mallet Toe Workup

Updated: Jun 07, 2022
  • Author: Christopher Brown, MBBS, FRCSC, FRACS, FAOrthA; Chief Editor: Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS  more...
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Workup

Laboratory Studies

Obtain routine preoperative hematology. In addition, undertake investigation for any intercurrent medical problems (eg, diabetes) before surgery. Patients taking 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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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. [14]

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, especially for diabetic patients.

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