Digiti Quinti Varus / Contracted under riding fifth toe

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Digiti Quinti Varus/Contracted under riding fifth toe

Also called – digiti minimi varus
A transverse and frontal plane deformity of the toe where the fifth digit is rotated into a varus or inverted position.

Aetiology:
Generally congenital
Familial predisposition/inherited factors.

Clinical Features:
Most asymptomatic.
Fifth digit under rides the fourth toe – proximal IP joint is in varus position.
Heloma molle may arise from the pressure interdigitally from the rotation of the ‘heads’ of the phalanges.

Management:
Generally not needed.
Treat inflammation and hyerkeratotic lesions.
Surgery
Footwear advice

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