Hallux Claw Toe: intrinsic imbalanced hallux

- See: claw toes 
- Discussion: 
- in claw toe MP joint is hyperextended and the IP joint is flexed w/ or w/o a fixed contracture of either joint; 
- etiology: bilateral sesmoidectomy or lateral sesamoidectomy; 
- in hallux claw toe, there is inability of pt to apply pulp of great toe to sole of shoe when standing; 
- thus pulp of great toe misses ground during stance phase of gait
- etiology is loss of intrinsic action at MP joint; 
- result is hyperextension of MP joint by unopposed EHL & EDB

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, September 5, 2012 10:38 am