Curly toes
are the most common deformity of the lesser toes. The fourth and fifth toes are
most commonly affected. Curly toes are characterized by flexion at the proximal
interphalangeal joint with lateral rotation of the toe. It is caused by
contractures of the flexor digitorum brevus and longus tendons. About 25% to
50% of curly toes will spontaneously resolve by 3 to 4 years of age. Persistent
deformity may be treated by surgical tenotomy.
Polydactyly (extra toes) are usually found on the initial newborn physical examination. When the extra toe is adjacent to the fifth toe, and attached by only a stalk of soft tissue or skin, simple ligation or amputation is effective. When the deformity involves the great toe or middle toes, or when the extra digit has cartilage or bone, delayed surgical intervention is indicated. Syndactyly (fusion of toes) is more common than polydactyly. It is usually a benign cosmetic problem. Both syndactyly and polydactyly may be associated with malformation syndromes
Polydactyly (extra toes) are usually found on the initial newborn physical examination. When the extra toe is adjacent to the fifth toe, and attached by only a stalk of soft tissue or skin, simple ligation or amputation is effective. When the deformity involves the great toe or middle toes, or when the extra digit has cartilage or bone, delayed surgical intervention is indicated. Syndactyly (fusion of toes) is more common than polydactyly. It is usually a benign cosmetic problem. Both syndactyly and polydactyly may be associated with malformation syndromes
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