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Hallux Claw Toe: intrinsic imbalanced hallux


- See: claw toes 
- Discussion: 
- in claw toe MP joint is hyperextended and the IP joint is flexed w/ or w/o a fixed contracture of either joint; 
- etiology: bilateral sesmoidectomy or lateral sesamoidectomy; 
- in hallux claw toe, there is inability of pt to apply pulp of great toe to sole of shoe when standing; 
- thus pulp of great toe misses ground during stance phase of gait
- etiology is loss of intrinsic action at MP joint; 
- result is hyperextension of MP joint by unopposed EHL & EDB