- 735.5 Claw toe (acquired)
- 755.66 Other anomalies of toes
- M20.5X9 Other deformities of toe(s) (acquired), unspecified foot
- Toe is bent into a claw-like position
- Flexor digitorum brevis contraction/shortening
- Hyperxtension of the MTP joint with Flexion of the proximal interphalangeal joint (PIP)
- Flexor muscles, fascia, tendons shorten
- Most commonly affects the second toe; can also affect the third to fifth
- Diagnosis is usually made by clinical examination or x-ray
- Can be an independent diagnosis and not associated with a disease process
- Inflammation around the joint
- Can be associated with medical conditions
- Can be a flexible or fixed deformity
- Wearing footwear that is too small
- Poor footwear: improper fit/toe comes to a point/narrow forefoot/high heels
- Pain in metatarsal with walking
- Corn on top of the toe
- Altered joint position
- Decreased extension or dorsiflexion of the toe
- Joint redness and pain
- Callus formation under the metatarsal head
- Difficulty finding shoes that fit properly
- Limited motion of the MTP joint
- Pain with standing
- Pain with ambulation at the affected toe
- Inability to wear stiff shoes
- Need to wear larger shoes to accommodate bunion, large toe box
- Alteration of gait pattern and mechanical issues of the forefoot
- Altered mechanics during the push-off phase of gait
Possible Contributing Causes
- Mallet toe: different in that it is flexion of only the DIP
- Hallux valgus
- Osteochondrotic lesion of the first metatarsal head
- Sesamoiditis, turf toe
- Osteochondritis dissecans
- Metatarsal stress fracture
- Bone spur, location and size
- To straighten out the toe
- Cut or lengthen tendons and ligaments
- Fusion of the joint
- Tendon transfer1,2
- For imaging, x-ray
- For medication, anti-inflammatory or corticosteroid injection
- For surgical consult1
- Antalgic gait secondary to pain at the toe with push-off
- Hypomobility of the MTP joint
- Inability to ambulate distances of one mile secondary to pain
- Rest, weight off feet will allow for reduction of inflammation
- Orthotics with ray cut out
- Weakness, ...
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