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Overlapping Toes: - involves an dorsal-adduction deformity of
the 5th toe; - other components of the deformity include external rotation of the digit,
contracture of the EDL tendon; - in some cases there may be dislocation of the MTP joint;
- often the deformity is familial and bilateral. Clinical
findings: - the deformity is asymptomatic, but it can cause difficulty with shoe wear
and pain over the dorsum of the toe; - a dorsal callus is commonl; - in some cases, there
will be an associated bunionette.
DuVries Correction: - may use lateral incision from osteotomy or
may make second incision in 4th interspace; - release the EDL, dorsal joint capsule, and
medial collateral ligament.
Butler's Surgical Correction: - create a dorsal racket incision
over the little digit, centered over the EDL tendon; - this allow the toe to be derotated;
- a second "handle" incision is made on the plantar aspect of the original
wound, which is brought laterally and proximally; - this incision allows the toe can now
be moved laterally and plantarly; - release the contracted extensor tendon and the dorsal
capsule; - in some cases, the plantar capsule will have to be released thru the dorsal
capsule; - for a good surgical result, the toe must passively lie in a corrected position;
- forced correction may place tension on the digital vessels; - if residual deformity is
present, more capsule needs to be excised; - skin sutures can help keep the toe in a
derotated position.
Of course no two people are the same. We would be happy to discuss
your unique foot condition. You can always reach us:
1. Call and talk to a Doctor
2. Send your concerns and questions to us via E-mail
3. Visit and participate in our chat room
4. Arrange for a free in-office consultation. |
