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Lesser toe deformities

There are a number of lesser toe deformities which include claw toe, mallet toe, hammer toe and cross-over toe deformities.

Occasionally people are born with these deformities, however the vast majority of patients develop these with time.

The symptoms most people complain of are feet not fitting their shoes and rubbing against the bony prominences. Corns and calluses can develop causing pain, redness and ulceration.

Diagnosis

Your doctor will take a history from you and examine your feet. It is vital to examine the whole of the foot to look for any other abnormalities and in particular look at whether the deformed toe can be straightened out by gently stretching the toe- this helps to determine treatment.

 X-rays of the foot will also be taken and are helpful in the planning treatment

Treatment

Non-operative:

Treatment with strapping or padding and the provision of accommodative footwear with an enlarged toe-box should always be considered in the first instance.

Operative

There are a variety of surgical procedures that can performed, it depends upon the type of deformity that is present and whether the deformity is correctable by stretching it or whether it is fixed.

Surgery is successful in the majority of patients, but there are complications that include recurrence of deformity, nerve or blood vessel damage.

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