II. Definition

  1. Often bilateral
  2. Overlapping of fifth toe over fourth toe

III. Epidemiology

  1. Familial

IV. Pathophysiology

  1. Involves dorsal Metatarsal-phalangeal joint (MTP)
    1. Shortened capsule and extensor tendon
    2. Shortening does not allow passive correction

V. Signs

  1. Overlapping fifth toe over fourth
  2. Calluses on dorsum of fifth toe
    1. Results from local shoe irritation

VI. Management

  1. Mild deformity
    1. Passive Stretching
    2. May be ineffective
  2. Surgery
    1. Surgical realignment of fifth toe
    2. Amputation of fifth toe

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