Mallet Toe

Patient Information

https://www.bofas.org.uk/Patient-Information/Lesser-Toes

GP Information

Background Information

• Hyperflexion of any lesser toe at the distal interphalangeal joint.
• May be in isolation or in conjunction with an extended MCPJ (Claw Toe).
• Unlike a mallet finger, a mallet toe is caused by a contracture of the FDL tendon.
• Patients may complain of callosities on the toe, either over the joint or on the tip impeding gait.

Investigation Guidelines

• Investigations are not required for diagnosis, management, or referral.

Management Recommendations

Conservative measures include

• Patient education.
• Shoe wear advice – avoid totally flat, high, or tight shoes. Trainers are appropriate.
• Silicone / foam toe sleeve.
• OTC orthotics if flat footed.

Referral Indications;

• Diagnostic uncertainty.
• Chronic pain not responding to conservative management.
• Unable to wear normal shoes.