The Two-Boned Fifth Toe: Clinical Implications

Author:

Thompson Francesca M.1,Chang Vivian K.2

Affiliation:

1. Co-Director, St. Luke's-Roosevelt Hospital Center, Hospital for Special Surgery, and Foot and Ankle Fellowship, New York Orthopaedic Associates, 345 West 58 St., New York, New York 10019.

2. Fellow, St. Luke's-Roosevelt Hospital Center, Hospital for Special Surgery, Foot and Ankle Fellowship.

Abstract

Eighty operations on the fifth toe in 59 patients were retrospectively reviewed to determine the effect of skeletal variation on the occurrence of pathological conditions requiring surgery. The two-boned fifth toe occurred in 60% of the operated group. This is statistically significant ( P < .05) as compared with 45% in our prospective control group. Our results support the theory that the stiffer two-boned fifth toe predisposes it to increased pathology, which includes hammertoes, interdigital and dorsal corns, and clawtoes.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Surgery

Reference8 articles.

1. The two-phalanged fifth toe

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4. 4. Morton D.J.: The Human Foot: Its Evolution, Physiology and Functional Disorders. New York: Columbia University Press, 1935, pp. 18–37.

5. 5. O'Malley C.D., Saunders J. B. de C. M.: Leonardo da Vinci on the Human Body: The Anatomical, Physiological, and Embryological Drawings of Leonardo da Vinci with Translations, Emendations, and a Biographical Introduction. New York: Henry Schuman, 1952, pp. 62–65.

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