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.
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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