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2025 Evidence-Based Medicine (EBM) Update.

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Neuropathic Deformities of the Lesser Toes.

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Updated: Jun 9, 2025

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Neuropathic Deformities of the Lesser Toes.

Emilio Wagner1, Pablo Wagner1

  • 1Department of Orthopedic and Traumatology, Clinica Alemana, VItacura 5951, Vitacura, Santiago, Chile; Universidad Del Desarrollo, Santiago, Chile.

Foot and Ankle Clinics
|October 24, 2024
PubMed
Summary
This summary is machine-generated.

Neuropathic lesser toe deformities, including claw, hammer, and mallet toes, result from neuromuscular disorders. Surgical joint fusion and tenotomies offer effective treatment with low revision rates.

Keywords:
Claw toesHammer toesLesser toes deformitiesMallet toesNeurologicRigid toes

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Area of Science:

  • Orthopedic surgery
  • Neuromuscular disorders
  • Foot and ankle reconstruction

Background:

  • Neuropathic deformities of the lesser toes encompass conditions like claw toes, hammer toes, and mallet toes.
  • These deformities stem from underlying neuromuscular disorders, leading to stiff toe joints.

Purpose of the Study:

  • To describe neuropathic lesser toe deformities.
  • To outline surgical approaches based on specific joint involvement.
  • To evaluate the efficacy of interphalangeal joint fusions and tenotomies.

Main Methods:

  • Classification of lesser toe deformities based on joint position (flexed/extended).
  • Surgical intervention involving interphalangeal joint fusions.
  • Adjunctive soft tissue procedures, including extensor or flexor tenotomies.

Main Results:

  • Accurate identification of joint position is crucial for surgical planning.
  • Interphalangeal joint fusions combined with tenotomies are the preferred surgical method.
  • The described procedures yield good clinical outcomes with minimal need for revision.

Conclusions:

  • Neuropathic lesser toe deformities require precise surgical management.
  • Joint-specific fusions and tenotomies are effective treatments.
  • This approach ensures favorable results and low revision rates for patients.