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Wheeless' Textbook of Orthopaedics

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.