Overriding 5th toe

At birth or during childhood

cosmetic deformity

pressure problems , caught on with socks on

Memorandum

  5th toe MTP - hyperextended

               IP joints flexion

               Deviation - medially , overrides 4th toe , nail laterally facing , hypoplastic


skin - dorsum contracted , MTP - Subluxed dorsomedailly , +/- bunionette


Management


            strapping

             stretching

              Surgery - Butler Procedure


                                Rocket incision over little digit centred over ED . derotate toe

Contracted tendon and capsule released.





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