Introduction A congenital deformity characterized by a digit that overlaps another Epidemiology demographics evenly distributed between males and females body location the fifth toe most commonly affected usually bilateral Pathophysiology pathoanatomy due to contraction of the extensor digitorum longus Genetics often familial Presentation Symptoms may cause problems with shoe wear Physical Exam adduction and slight external rotation of the affected digit metatarsophalangeal joint is dorsiflexed the nail plate is smaller than the contralateral digit Treatment Nonoperative passive stretching and buddy taping indications first line of treatment Operative surgical correction indications fails nonoperative treatment and remains symptomatic technique Butler procedure perform racket handle incision then release the extensor digitorum longus tenotomy vs. dorsal capsulotomy vs. syndactylization with fourth toe (McFarland procedure)
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The Crossover 2nd Toe: Steven Steinlauf, MD (CSFA #26, 2017) Pediatrics - Overlapping Toe - Treatment Consult The Crossover 2nd Toe: Steven Steinlauf, MD(CSFA #26, 2017) 5/15/2017 365 views