Lesser-toe deformity

Treatment of Dynamic Claw Toe Deformity Through Lengthening of the Flexor Tendons of the Hallux and Toes at the Midfoot Level

“…3 The technique described in this article is indicated for dynamic claw toes due to isolated or combined The flexor tendon anatomy is complex and variable; therefore, understanding the anatomy of the flexor apparatus of the toe is fundamental. [1][2][3][4] The knot of Henry, also known as chiasma plantare, is the crossover of FHL and FDL tendons. It also comprehends a variable combination of tendons and muscular fibers of the FHL, FDL, and quadratus plantae.…”

“…Thus, in the physical exam, when the ankle is in plantar flexion, the claw toes are passible of reduction, meanwhile, in dorsiflexion, the claws are not reducible. 3,4…”

“…Causes such as congenital deformity and neurologic and rheumatologic diseases were described in the literature. 4,5 The most common cause of the dynamic claw toe are posttraumatic neurological disorders, including ischemic contracture of the muscle belly of the deep posterior muscle compartment of the leg following a compartment syndrome. 2 Several surgical techniques have been performed, including flexors tendon transfer, 1 flexor tendon sectioning or lengthening, lengthening of the extensor tendon, FHL and FDL tendinous interconnection releases, IPJ arthroplasties or arthrodesis.…”

“…Thus, in the physical exam, when the ankle is in plantar flexion, the claw toes are passible of reduction, meanwhile, in dorsiflexion, the claws are not reducible. 3,4 Causes such as congenital deformity and neurologic and rheumatologic diseases were described in the literature. 4,5 The most common cause of the dynamic claw toe are However, most of these techniques require multiple procedures and may be associated with complications such as toe stiffness, persisting metatarsalgia, hardware infection, toe malalignment, and recurrence of the deformity.…”

“…3,4 Causes such as congenital deformity and neurologic and rheumatologic diseases were described in the literature. 4,5 The most common cause of the dynamic claw toe are However, most of these techniques require multiple procedures and may be associated with complications such as toe stiffness, persisting metatarsalgia, hardware infection, toe malalignment, and recurrence of the deformity. [8][9][10] The aim of this study is to present an option for the surgical treatment of dynamic claw toe deformity.…”