Lesser toe deformity

Last revised by Henry Knipe on 15 Nov 2021

Lesser toe deformities are common and include deformities at the metatarsophalangeal joint (MTPJ), proximal interphalangeal joint (PIPJ) and/or distal interphalangeal joint (DIPJ).

Terminology

There is variable and crossover terminology 3 in the names given to lesser toe deformities but commonly 1-3:

  • mallet toe: DIPJ hyperflexion
  • hammer toe: PIPJ hyperflexion +/- MTPJ and/or DIPJ hyperextension
  • claw toe: MTPJ hyperextension + PIPJ and DIPJ hyperflexion
  • cross over toe: MTPJ hyperextension + medial or lateral deviation

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