Mallet toe

Mallet toe is a digital deformity characterized by flexion at the distal joint. Risk of ulceration is associated with each of these three digital deformities, at the tips of the toes and over the prominent interphalangeal joints.

Surgical correction of digital deformities may be indicated in high-risk patients with loss of protective sensation. Surgical intervention becomes a more pressing issue once the patient has developed ulceration and/or infection. Chronic, recurrent plantar ulceration beneath a metatarsal head may require correction of the digital deformity to relieve pressure beneath the metatarsal head (Fig. 8.4c).

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