Definition
Flexion deformity of DIPJ
Aetiology
Usually in 2nd toe
- Long second MT
- Constrictive footwear
Clinical
Pain over
- tip of toe
- over dorsum of DIP joint
May be corn on tip of toe
Fixed or flexible
Management
Non-operative
Shoes with roomy toe box
Operative
Surgical Algorithm
1. Flexible
Percutaneous FDL tenotomy
2. Fixed
A. Excision arthroplasty of DIPJ ± FDL release
B. Arthrodesis
C. Terminal Symes amputation
3. 2nd MTPJ Dislocation
Reducible dislocation
- Hammer toe repair
Reducible but unstable
- FETTS + Hammer toe repair
Irreducible
- E/O MT head + FETT + Hammer toe repair