2018年4月7日 星期六

Clawed toes and Bunion Deformity

Background:

Clawing deformity can happen usually to the second and third toes of a bunion foot. They can be painful due to rubbing against the top of shoes. Their base (metatarsophalangeal ) joints may also dislocate causing joint pain and metatarsalgia.



What are clawed toes?

As the name suggests that the mid joint of a toe is buckled upwards like a claw in shape. They can become severe and precipitate dislocation of the toe eventually if the bunion problem is not resolved and big toe function is not restored.



Why may the clawing deformity be developed in bunion feet?


Clawing deformity happens due to over-working of the lesser toes when big toe gradually loses its function by the bunion condition and they are also further aggravated by collapsing of the transverse metatarsal arch of bunion feet.



How can clawed toes of bunion feet be corrected?


Since they are caused by poor great toe function and collapsed metatarsal/transverse arch, any bunion surgery that can properly restore function of the great toe and the metatarsal arch will then remove the deforming forces on clawed toes to allow them to return to their normal status in most cases without additional surgery (Fig. 1 & 2).



What is the effect of Dr. Wu’s syndesmosis bunion surgery on clawed toes?

If its clawing deformity is not rigid, then the clawed toe can usually be straightened out on its own without additional surgery after syndesmosis procedure to restore big toe function and transverse metatarsal arch. But if clawing and dislocation have been for a long time and might have become rigid then additional surgery may still be necessary.










Reference information:  http://www.bunioncenter.com/bunion/clawed-toes-bunion-deformity.html
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your Orthopedist for diagnosis and treatment.

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