Overlapping fifth toe

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Overlapping fifth toe

A sagittal, frontal and transverse plane deformity of the fifth toe in which it over rides/overlaps the fourth toe. Soft tissues usually contracted.

Aetiology – may be due to pressure in utero; failure of proper development of MPJ

Clinical features – fifth toe overrides fourth – toe is adducted, dorsiflexed and in varus rotation at the MPJ; usually asymptomatic in children – digital lesions can develop later

Splint/retainer; strapping
Surgical – sequential soft tissue releases or amputation

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