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Mallet Toe


Presentation

  • In certain patients with hammertoe deformity, the DIP can present in flexion.[emedicine.medscape.com]
  • Some asymptomatic patients may present based upon the cosmetic aspect of the toe, although many people do not seek medical attention unless symptoms present. There are two types of mallet toe.[news-medical.net]
  • High-heeled shoes and shoes with a narrow toe box may aggravate the deformity; it is present symptomatically more in women [ 1, 2 ].[clinicalgate.com]
  • The acute presentation of a mallet toe is rare because most cases are idiopathic. Mallet toe is often underdiagnosed, and early treatment is important because it leads to better functional outcomes and less pain.[semanticscholar.org]
  • […] include: Prescription footwear designed to avoid pressure on the toes Prescription of Orthotics to relieve pressure on the claw toe Splints and Straps to help realign the toe Cushions or Pads to prevent skin breakdown Removal of Corns and Calluses (if present[4lifepodiatry.com.au]
Physician
  • In order to get a better view of what is happening in the bones, joints, and muscles the physician may also order an x-ray.[mercy.com]
  • Diagnostic methods that a physician may use to help diagnose Mallet Toes include: Physical examination: A physician can diagnose Mallet Toes by performing a thorough physical examination of the foot.[dovemed.com]
  • If you have diabetes and experience any toe or foot pain see your physician promptly to avoid infection and complications. Treatments your doctor may recommend for Mallet Toe There are a variety of treatments available for mallet toe.[footscientific.com]
  • Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional.[amazon.ca]
Wound Infection
  • One patient had mild wound infection. One patient had asymptomatic nail growth. No stump tenderness, sensitivity or neuroma was noted.[online.boneandjoint.org.uk]
Disability
  • It can be painful and disabling. Causes of a mallet toe Several things can lead to mallet toe.[healthinfo.org.nz]
Nail Abnormality
  • The metatarsophalangeal joint (MTP) and the proximal interphalangeal (PIP) should be assessed, as well as the location of callosities and nail abnormalities.[news-medical.net]
Rigor
  • To a first degree, both conditions have similar root causes, such as overly tight shoes, metabolic issues, a rigorous work style without enough breaks, and so on.[healthmarkfootandankle.com]
Vascular Disease
  • Other concurrent medical conditions that have an impact on the management of the condition (e.g. diabetes, vascular disease, neuropathy) should also be discussed.[news-medical.net]
Foot Pain
  • Download a Free Guide on Ankle & Foot Pain Treatment In mallet toe, the joint at the end of the toe buckles. The skin near the toenail tip develops a painful corn that can eventually result in an ulcer. These can be extremely painful.[my.clevelandclinic.org]
  • If you have diabetes and experience any toe or foot pain see your physician promptly to avoid infection and complications. Treatments your doctor may recommend for Mallet Toe There are a variety of treatments available for mallet toe.[footscientific.com]
  • Evaluation and diagnosis of common causes of foot pain in adults. . Accessed Dec. 15, 2015. Hammer toe. American Academy of Orthopaedic Surgeons. . Accessed Dec. 16, 2015. Malloy A, et al. Mallet toe deformity.[mayoclinic.org]
  • Lifestyle and home remedies Wearing proper footwear may ease your foot pain. Low-heeled shoes with a deep toe box and flexible material covering the toes can help.[nchmd.org]
Decrease in Height
  • […] arch height) and mechanical issues of the forefoot Difficulty finding shoes Possible Contributing Causes Muscle imbalance Trauma Pes planus (flat foot) Improper show wear Commonly seen in conjunction of bunions Joint arthritis/injury Muscle atrophy Nerve[accessphysiotherapy.mhmedical.com]
Nail Deformity
  • Patients that present with the deformity often report symptoms of pain and inflammation associated with the callosity or nail deformity.[news-medical.net]
  • This may lead to callosity or nail deformity on the tip of the toe. The deformity may be flexible in cases where the principal problem is an overtight flexor digitorum longus.[emedicine.medscape.com]
Skin Ulcer
  • People with diabetes are especially vulnerable for developing a sore (skin ulcer) on the tip of the toe. Thickened skin (calluses) may appear on the bottom of your toe or the ball of your foot.[fixbones.com]
Abnormal Gait
  • Signs and symptoms of Mallet Toes include: Pain in the toes and foot Abnormal gait during walking Presence of corns of the foot, due to excessive pressure Painful ulcers at the region of increased stress Though any toe may be affected, Mallet Toe commonly[dovemed.com]

Treatment

  • If conservative treatment is not successful, then surgery may be recommended to straighten the toe.[4lifepodiatry.com.au]
  • Back to Top Recovery Recovery from non-surgical and surgical treatment for mallet toe is individualized. Recovery depends on several factors, including the cause and extent of your condition and the type of treatment you received.[fixbones.com]
  • Treatments your doctor may recommend for Mallet Toe There are a variety of treatments available for mallet toe.[footscientific.com]
  • Conservative treatment of mallet toes begins with accommodating the deformity. The goal is to relieve pressure, reduce friction, and transfer forces from the sensitive areas.[foot.com]
  • Treatments for hammer toe or mallet toe Treatments for hammer toe or mallet toe can be as simple as changing your shoes to surgery for the most severe cases.[mercy.com]

Prognosis

  • […] international incidence of mallet toe is unknown; however, population‐based studies in Australia and Sweden reported that surgical management of these deformities accounts for between 28% and 46% of all forefoot surgery performed in those countries. [9, 10] Prognosis[emedicine.medscape.com]

Etiology

  • Etiology Mallet toe deformity of a long toe is usually idiopathic.[emedicine.medscape.com]
  • (Etiology) One of the primary reasons of Mallet Toe is abnormal muscles in the foot, caused by various factors.[dovemed.com]

Epidemiology

  • Inappropriate shoe wear, iatrogenic causes (eg, previous PIP joint fusion), congenital abnormalities, trauma, neuromuscular disorders, and pes cavus can all lead to the deformity. [8] Epidemiology In the United States, mallet toe deformity is much less[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • The flexor sheath extends to the DIP joint. [2, 3] Pathophysiology The principal pathophysiology is flexion of the DIP joint with pressure on the tip of the toe, often with associated attenuation of the extensor tendon (see the image below).[emedicine.medscape.com]
  • . : Anatomy ad pathophysiology of the lesser toes. In Operative Foot Surgery. Philadelphia, W.B. Saunders, 1993, pp. 84 – 85. Google Scholar 17.. Newman, R., Fitton, J.: An evaluation of operative procedures in the treatment of hammertoe.[journals.sagepub.com]

Prevention

  • This prevents further irritation in the toe area from developing. Other conservative treatment includes forefoot supports such as gel toe caps, gel toe shields and toe crests.[foot.com]
  • What can I do to prevent Mallet Toe? Avoid footwear that causes your toes to bend such as high heels, narrow or short shoes or in some cases slip-on shoes. Wearing a shoe that is held on the foot by a strap or lace is best.[footscientific.com]
  • A few preventative methods of Mallet Toes include: Wearing the appropriate footwear, such as shoes with adequate toe room, shoes of the correct sizes; avoid high-heeled shoes Proper treatment of the following disorders and conditions will help prevent[dovemed.com]
  • If conservative treatments don't help, your doctor might recommend surgery to release the tendon that's preventing your toe from lying flat. In some cases, the surgeon also might remove a piece of bone to straighten your toe.[drugs.com]
  • […] able to relieve pain and symptom’s of Mallet Toe and can include: Prescription footwear designed to avoid pressure on the toes Prescription of Orthotics to relieve pressure on the claw toe Splints and Straps to help realign the toe Cushions or Pads to prevent[4lifepodiatry.com.au]

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