Foot

Congenital Overlapping Fifth Toe

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Congenital Overlapping Fifth Toe

  • Definition
  1. Often bilateral
  2. Overlapping of fifth toe over fourth toe
  • Epidemiology
  1. Familial
  • Pathophysiology
  1. Involves dorsal Metatarsal-phalangeal joint (MTP)
    1. Shortened capsule and extensor tendon
    2. Shortening does not allow passive correction
  • Signs
  1. Overlapping fifth toe over fourth
  2. Calluses on dorsum of fifth toe
    1. Results from local shoe irritation
  • Management
  1. Mild deformity
    1. Passive Stretching
    2. May be ineffective
  2. Surgery
    1. Surgical realignment of fifth toe
    2. Amputation of fifth toe