Claw, hammer and mallet toes are toe deformities, were metatarsophalangeal and/or interphalangeal joints of the lesser rays are affected.
Such deformities may be flexible or stiffed, which has an implication in the treatment options.
The picture illustrates a rheumatoid foot, that has a severe bilateral Hallux Valgus, and claw toe deformity of the lesser rays.
When the metatarso-phalangeal joint is affected, it is necessary to rebalance and decompress it, which demands soft tissue release and frequently a metatarsal shortening osteotomy.
In the present case, despite the rheumatoid arthritis, a joint preserving surgery was chosen, with shortening metatarsal osteotomies and one head subtraction osteotomy, with removal of the segment with cartilage loss.
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