- 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.
- Investigations are not required for diagnosis, management, or referral.
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.
- Diagnostic uncertainty.
- Chronic pain not responding to conservative management.
- Unable to wear normal shoes.