Differences Among Hammer Toe Claw Toe and Mallet Toe

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Differences Among Hammer Toe Claw Toe and Mallet Toe

Flexible Toe DeformityMTPJoint Position PIPDIPSurgical Management
Hammer toeUninvolved, neutralFlexionUninvolved, neutralFlexible—flexor to extensor transferFixed—hemiresection arthroplasty excision of distal portion of proximal phalanx
Claw toeFixed, extensionFixed, flexionUninvolved, neutral or flexionResection of both sides of the PIP joint; joint dorsal capsulotomy and extensor tenotomy, flexor to extensor transfer
Mallet toeUninvolved, neutralUninvolved, neutralFixed, flexionExcision of middle phalanx and/or flexor tenotomy if flexible

DIP , Distal interphalangeal; MTP , metatarsophalangeal; PIP , proximal interphalangeal.

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