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
Surgical – sequential soft tissue releases or amputation