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Flashcards in Mallet Toes Deck (10)
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1
Q

What is this?

A

Mallet toe

2
Q

Which toes are most commony affected in mallet toe

A

The lesser toes

Commonly the second toe

3
Q

What is mallet toe

A

A flexion deformity at the distal interphalangeal joint of the involved toe

There is no PIP or MTP joint involvement

4
Q

How would you complete the examination of a patient with mallet toe

A

Watch the patient walk

Examine her shoes

Ask her questions to assess the effect of the condition on her life

5
Q

What is the cause of mallet toes

A

Imbalance between intrinsic and extrinsic muscles of the lesser toes

6
Q

What are the intrinsic muscles of the lesser toes

A

Lumbricals

Interossei

7
Q

What are the extrinsic muscles of the lesser toes

A

Long flexors and extensors

8
Q

Who is more likely to get mallet toes

A

More common in females than males

Elderly

Patients with RA

Diabetics with peripheral neruopathy

9
Q

How would you treat mallet toes

A

Non-surgical

  • Appropriate footwear - usually unhelpful

Surgical:-

  • Mobile deformity - consider flexor digitorum longus tenotomy
  • Fixed deformity
    • Flexor tenotomy with resection of the middle phalangeal head and neck
    • Fusion of the DIPJ
    • Amputation of distal half of distal phalanx to include nail and matrix
10
Q

What is a tenotomy

A

Surgical cutting of a tendon