Hammer toe & Claw toe

Hammer toe ans claw toe
Hammer toe
Operative treatment
Claw toe
Claw toe treatment
Claw toe treatment
Claw toe treatment

 


Hammer toe & Claw toe

Hammer toe Abnormal flexion posture of the PIP joint One of four lesser toes flexibility : push up test Pain and corn - PIP joint dorsum - Nail end just plantar area - beneath the MT head

Hammer toe & Claw toe

Hammer toe Classification - Mild deformity : no fixed contracture - Moderate : fixed flexion contracture at PIP - Severe : fixed PIP  & fixed extension contracture at MP Treatment - Mild deformity : flexor-to-extensor transfer using FDL  


Hammer toe & Claw toe

 - Moderate deformity :     PIP joint resection arthroplasty or arthrodesis - Severe deformity :     Resection of condyles of proximal phalanax 

Hammer toe & Claw toe

Claw toe PIP & DIP flexion + MTP joint extension deformity Extensor digitorum longus : MP joint extension Flexor digitorum longus : IP joint flexion Underlying neuromuscular disease - Polio, Charcot-Marie-tooth disease, Myelodysplasia, CP - loss of intrinsic function of the foot

Hammer toe & Claw toe

Treatment of Claw toe - Hammer toe deformity correction - Neutralizing MTP joint procedure Flexibility and severity of deformity - Flexible PIP & DIP : FDL transfer - Fixed moderate deformity :    PIP joint resection arthroplasty or arthrodesis    Extensor lengthening with MTP capsulotomy - Severe deformity :    Weil osteotomy or MTP resection arthroplasty


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