Claw Toe
What is it: A claw toe is a toe deformity that primarily has a fixed extension at the MTP of the toe with flexion at the PIP.
How does it present: May patients may present with noticing this deformity. Others may present due to pain associated with the deformity. Due to the position of the toe, calluses can develop from poor fitted shoes.
Common exam findings: On exam you may see the deformity as described above and may notice calluses. In this condition, usually numerous toes on the foot are affected. In this deformity, calluses usually develop over the dorsum of the PIP joint or at the sole of the foot under the MTP.
Tests and treatment: No specific studies are needed for diagnosis. This deformity is often associated with other medical conditions, such as neurologic disorders, peripheral neuropathies and inflammatory arthritis, so these conditions should be evaluated for if suspected. First line treatment involves shoe modification to provide an ample toe box space to prevent rubbing and pressure on the deformity. Protective cushions can be used over prominent areas. If conservative measures fail to manage symptoms, surgical correction may be indicated.