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Mallet Toe

- Discussion: 
- refers to flexion posture of DIP; 
- may occur as isolated disorder or along w/ hammer toe deformity
- this deformity occurs most often in 2nd toe, which is frequently the longest & which is impinged in a tight fitting shoe, causing DIP flexion; 
- mallet toe is common in diabetics with peripheral neuropathy, and end corns in this population may become infected; 
- Surgical Options: 
- flexor tenotomy at the distal IP flexion crease 
- amputation of distal half of distal phalanx to include nail & matrix