under riding fifth toe

Fifth Toe

Over-riding Fifth Toe

 

Deformity

 

5th toe adducted & overrides 4th toe

- extended, adducted & laterally rotated at MTPJ

 

Pathology

 

Toe arises more dorsally than it should

 

Contracture of EDL tendon

Contracted dorsal skin & dorsal MTPJ capsule

 

Aetiology

 

Usually congenital deformity

- toe usually hypoplastic