Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Andreas Wagner
Specialist Registrar Dr. med. Andreas Wagner

Head of department hand and foot surgery

Specialist for Orthopaedics and Accident Surgery, Rheumatology, Hand Surgery, Special Orthopaedic Surgery, Physical Therapy and Chirotherapy.

Small toe deformities

Deformities of the small toes can be caused by a muscle imbalance, by a hereditary overlength of the small toes, an accompanying hallux valgus malposition and unsuitable footwear.

The most frequent occurrence is a bent position of the middle joint (claw toe), which is accompanied by a painful callus above the joint. If the metatarsophalangeal joint is also in an overstretched position, a mallet toe is present. Pains under the relevant metatarsal head are the mist frequent complaint. The hammer toe is a rare malposition and describes an isolated bent malposition in the distal phalanx, so that when subjected to load, pressure pain on the tip of the toe with deformation of the toenail may occur.

The conservative therapy of the small toe deformities consists of a local cushioning of the painful areas, wearing of sufficiently wide or open shoes and individually adapted insoles and regular foot care.

The range of operative measures is wide and depends on the extent of the malposition and the accompanying forefoot deformities. The aim of the operation is to restore a straight small toe, which has sufficient contact with the floor when standing.

Whereas at an early stage soft tissue operations on the tendons and joint capsules may be sufficient, in advanced stages joint stiffening of the middle or end joint must often be carried out. In the case of claw toe malpositions with an overstretched position of the toes in the metatarsophalangeal joint, shortenings of the metatarsal may even be necessary to eliminate the metatarsal pain.

Hallux valgus

The hallux valgus (bunion) is the most frequent large toe malpositioning: The big toe turns to varying degrees towards the small toe side and the ball of the big toe protrudes to the side. On the inside of the ball, increased friction and additional pressure on the soft tissue is caused when wearing shoes.

More information.

Your stay at the Waldkrankenhaus Eisenberg

Foot care
By arrangement with the care personnel, we will be pleased to make an appointment with a trained pedicurist if required. Patients have to pay for the charges themselves.

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