Cross over toe deformity occurs with metatarsophalangeal joint hyperextension with medial or lateral deviation crossing another toe.
Epidemiology
It has been reported to be more commonly seen in women over the age of 50 years 1, and in patients with hallux valgus.
Pathology
It can occur if there is a unilateral/partial plantar plate tear and a deficiency in one of the collaterals. Medial deviation is considered more common and the second toe is most commonly affected.
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