Hammer and Claw Toe Deformity

Abstract

A hammer toe is defined as a lesser toe that has a flexion deformity at the proximal interphalangeal. Frequently, the metatarsophalangeal joint is hyperextended, and the distal interphalangeal joint may be flexed, extended, or in a neutral position. The condition often is painful, and a painful callus may develop on the skin over the interphalangeal joints and on the tip of the toe from rubbing against the shoe. For flexible deformities, conservative treatment is recommended and may include toe stretching exercises, gauze padding to protect the toes, changing footwear, and the use of shoe inserts. Surgery is indicated if conservative measures fail to provide sufficient pain relief and depends on the flexibility and magnitude of the deformity.

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