Hammer Toe Surgery Explained Podiatry Claw Toe Mallet Toe
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- čas přidán 13. 12. 2009
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Project Lead:
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Resource Consultant:
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Producer:
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A "Hammer-Toe" deformity, describes a pathological condition of abnormal or exaggerated contracture at the metatarsal-phalangeal and inter-phalangeal joints of the toes. This is mainly due to an imbalance between the muscular flexors and extensors as well as intrinsic interossei and lumbrical muscles within the forefoot.
A hammer toe deformity may present as one of three morphological variations. A true hammer-toe deformity will exhibit dorsiflexion at the metatarsal-phalangeal joint and plantar flexion at the proximal interphalangeal joint. Whereas a mallet toe solely results from a plantarflexory contracture of the distal interphalangeal joint. A simultaneous combination of these two conditions is thus known as a claw toe.
Clinically, a hammer toe may present with hypertrophic callosities on the plantar surface of the corresponding metatarsal head and the distal/plantar tip of the toe in addition to a painful corn over the proximal interphalangeal joint.
A radiographic analysis of a hammer-toe deformity in the Anterior/Posterior or Dorsal/Plantar view will reveal a hallowed point or gun barrel appearance of the middle phalanx.
Although conservative care may involve shoe modifications, padding, strapping, and custom orthosis; surgical reconstruction may be required to alleviate painful and immobilizing hammer-toe conditions.
This surgical management of the hammer-toe deformity is performed by variable means of "Sequential Reduction." By this, a hammer-toe contracture is alleviated through various procedures in order to re-establish a functional position during active motion as well as rest.
This process may include, a lengthening of the extensor tendons, followed by a resection of the extensor hood. An "Arthroplasty" may be utilized to increase useable joint space within the proximal inter-phalangeal joint by removing the head of the proximal phalanx.
In more extreme deformities, a tenotomy of the flexor tendon may be utilized. This may be accompanied by a fusion of the joint itself, known as an "Arthrodesis," whereby the base of the middle phalanx and the head of the proximal phalanx are combined to form one continuous bone mass.
By balancing the forces of plantarflexion and dorsiflexion at the joints of the toe, a Hammer-toe operation may result in a drastic improvement of the functional mobility of the foot and leg during gait.
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![Hammer Toe Exercises, Stretches & Treatment [Claw Toes & Mallet Toes!]](http://i.ytimg.com/vi/pA4dicQIzLY/mqdefault.jpg)
![Hammer Toe Exercises, Stretches & Treatment [Claw Toes & Mallet Toes!]](/img/tr.png)
Tomorrow is the day for my 2nd toe surgery...This animation was a lot easier to watch than the actual surgery. Thank you
Dr Glass has no equal in graphical education........ What a gift to all doctors and patients.
Keep it up, You ROCK.
Dear God I don't know if I should have watched that. I got this surgery done June 4th. It's true about not being in pain the day of surgery mostly because they will give you an injection in the back of your knee to make everything numb below it. Once it wears off the next day I was in so much pain I felt like someone hammered my toes... no pun intended. Now I'm just waiting for them to pull the pins out of my toes... Way too nervous..
I'm going in for surgery next month, this video helped me see what to expect where my doc couldn't show me. Thank you.
Hi,how was your surgery?how long did take you to heal and be active again?
Hi Carrie G,
How are you doing? Was the surgery all good? Was your doctor an idiot for not showing this?
@@phillipjacobs9982 surgery went well I suppose. There was a pain she had to stick in my toe that stuck out about an inch or two, when she went to pull it out it broke halfway through my toe, so that pain is still in there
Pin**
@@carrieg5194 how painful is it? Do you feel tbetter in long run?
I had surgery 4 weeks ago thank you for showing what was done so I understand the healing process.
How was it can u show before after I’m considering it
You don't. I had this done to 2 of my toes on my left foot. I couldn't wear a standard shoe for 8 weeks then, once the pins were removed, it took a few more months for final swelling to go down. It is strange to not be able to curl those toes again. Just pray you don't hit those pins on anything while implanted. It was unbearable.
Thank you for sharing. I think I will put off my surgery for now and try something less drastic first.
I got a headache just thinking about it
Changed my mind about having the surgery ....🥺
I wouldn't wanna live with the inability to ever move my toes again. I think i would rather live with the Hammer Toe than to think about the idea of having my bones fused together so i can never move them again.
This hurts my penis!
I always enjoy watching your videos and explanations. It is tremendous help for a pod student. Thank you so much for taking the time and making educational videos.
Essentially, a hammertoe surgery entails a combination of soft tissue (skin, tendons, joint capsule) release, as well as bone resection (removal or remodeling) in order to straiten out the toe and improve function. The video above, demonstrates this with an anatomic explanation.
Hi DrGlassDPM, I have this condition that affects the second finger of my right foot. Moreover, I suffer since many years ago of plantar fasciitis at the same foot, that "flat foot" condition was always blaimed as the guilty of. However, is it possibile that this longer second finger than the allux is the real guilty of my plantar fasciitis? I am asking this because I read that it is able to cause this problem too, and because I have both "flat feet" but just the right one (that has second finger longer than the allux) suffers of plantar fasciitis, that I "manage" with orthopedic insoles plantar and avoiding run more than 10 kms (despite it was one of my passion years ago unfortunately). Thank you and greetings from Italy.
The joint that is fused can not longer be bent. It is immobile after the pins are removed and the joint is fully healed.
@HaligonianType1 Sorry for the typo. Yes, Toe nails as it were...
If they continue to grow back ingrown/incurvated, despite multiple removals: Have you not considered a Partial or Total Matrixectomy? By this, they actually kill the nail root and the toenail doesn't return. This is an option for troublesome nails.
Since you mentioned not wanting to waste your time with multiple appointments, I would imagine that bypassing an attempt at nail spacers and such are may be more right for you.
@ladyscorpian14 That'll depend on a number of factors, as well as you're doctor's instructions. Depending on the surgical procedure performed, it could be a few days-weeks...
There are implantable fixation methods available, too. This video just shows a very popular solution.
@audayhussain2 This particular procedure demonstrated is not a wedge osteotomy. This is mearly a "flat" resection of the Proximal Interphalangeal Joint (PIPJ)
Ok. I wanted to get surgery on my hammer toes but just by watching this. I don't. Shit got me nervous 😰
I would bet they would only need to do the first step of that video with you. They will just relax the tendon that is making your toe pop up
@SeanDevonshire The Pin will be removed in several weeks, usually in clinic. Fairly painless
How long is the healing process please.. I'm having one toe done next week
@Chiangsterr It would not be termed a "neccessary" procedure without the presence of pain or discomfort. That's mainly because of the risk of complication. Imagine a painless toe now being painful after the operation; it's a rare side effect, but still possible.
How is the metal sticking our removed after it heals? I want to do this one one of my toes, however 20 years ago my mother had a traumatic experience where the "Doctor"pulled the pin with no anesthetic and pliers! please tell me we have evolved since then?!
I can see all kinds of problems with the K wire sticking out the front of the toe.
I know this is old, but should I consider this procedure if my clawtoe sometimes gets a stabbing pain under the main bend?
@HaligonianType1 They would be difficult to market as a fashion accessory or body modification.
Why is the lengthening done on the extensor tendon and not the flexor? Seems backwards. please educate me
Super sir ... your viedoes r awesome and helpfull
Muy interesante como pudo obtener más información
En español por favor.
Dem bones dem bones!
Very well done, brilliant Miss.
The foot alone is an incredible engineering accomplishment, let alone the entire body, I don't buy for one minute that there wasn't Devine design at work.
I guess if one had enough claw toes they could perch on a tree limb as a big bird.
@DrGlassDPM its the one that curls up. the long one beside the big toe. its just in that toe and no where else. it feels like it in the first joint at the foot and the 2nd joint. but it feels like the tendon but idk. when i get health insurance im going to go to the doc to see if i need surgery..
@jakixs The post operative pain usually subsides within a week.
Thanks for that info I had mine done yesterday and in tears every time I try to walk
@HaligonianType1 I have to ask: what reason is there to actually remove the toe? Is it damaged or deformed? If pain is not an issue, then let me ask, "what reason there would be to address it at all?"
@AleCKSis1000 there can be some post operative discomfort.
I have a hammer toe on my left foot. If you have the surgery how long are you off your feet?
HOLA, EN ESPAÑOL LO PUEDEN TRADUCIR GRACIAS.
Is that Pin There Permanently or is it removed later on?
What if last 2 two fingers are bended sideward
Can it be correct
@KSWR500Z The muscular balances involved in most hammertoes can present at the time of birth, but not always. Surgery won't affect the shoe size directly, however.
is it possible to change the toe shape & nail shape?
by shortening the bones are soft tissue in excess and as a compressed clutch pushing contact phalanx. Need 2 needles. Greetings from Russia.
@allisonportillo The taping of the toes doesn't neccessarily "continue" the healing process, per se. It is intended to hold an optimal position for the toes to heal properly.
The configuration and positioning of the toes, via taping, would be dependent on the doctor's procedure and post op orders. Chances are, he/she has you follow-up with them in clinic and the toes will be taped as needed.
Fiz esta cirurgia. Após realizada os dedos não flexionam. E ficam edemaciados.
Jesus that looks painful 😓 great
this feels painful
this video needs to be more in layman's terms.
i think i need this surgery, im so scared. i heard these procedures can get pricey, can you please qoute me a random price so i can have an idea of how much im looking at? i love sneakers but this is my problem of wearing them too much and not knowing:( until i actually felt pain. #pls,help.
@DrGlassDPM
Well, I kind of like the pain as well. Sp that is part of why I keep doing it. Haha...
I have looked into a permanent fix, and may at some point in the future again.
I may see my doc next week about it. Thank you for the replies,
I need this I'm 15 and I have a hammer toe Don't know how it happened or appeared
@Zirus101 Prehistoric foot deformities are a bit of a mystery, even today. Look at this article published:
"Foot deformity of unknown etiology in a prehistoric skeleton from Texas." Owsley DW, Mann RW. Department of Anthropology, National Museum of Natural History, Smithsonian Institution, Washington, DC 20560.
Can i do this myself?
I'm having surgery aug 3 what is the healing time like and can i drive
@jsweet42891 Well, which toe are you talking about? And, is the pain in the toe itself or more proximally at the Metatarsal? Hammertoes can afflict people of all ages
I have hammer toes , both feet, second toe longer than my great toe and the 3rd toe on 1 foot also longer than great toe.
I have pain now and then but I’m not sure I want to lose the ability to stretch my toes out and bend them and use them to pick things up!! 😀
I have a hard time with shoes and have a really bad habit of curling my toes over the top of flip flops.
@DrGlassDPM
Not a toe. My big toenails. They are always ingrown so I simply remove them.
How about u check Foot of King Leonidas (Statue) from Sparta. Greek foot works better on your butt muscles.
@DrGlassDPM
I remove my own big toe nails. Have been since I was 15. No pain killers or numbing. Nothing. Then it's just a matter of keeping it cleaned and dressed.
Pain is a non-issue for me.
ok i have had hammer toe for years and this morning my hammer toe on my right foot started to hurt, as in sharp pain when i bend it a certain way or stuff like that. what could have caused it to start hurting now. i have had hammer toe on both feet for years and im only 20
@HaligonianType1 "Different strokes for different folks" as they say...
You've stated that you dress it yourself, but rember that any open wounds are at risk for complication. As for the enjoyment part, then that's another issue.
Comments are always fine... I love talking about feet. Haha :-)
I'm having my hammer toe arthrodesis operation in 2 weeks. Could anyone tell me how long the operation will take?
Olga Zamora Larsson How did it go omg I'm having mine soon and tell me how long it took and how long you stayed at the hospital and the pain process
I had it done in the 80s it takes about 3 mos before u can wear a shoe
It can vary from person to person, but bones usually take LONGER than tendons, to heal, so it is not likely to increase the healing time overall.
I need my toes fixed don’t know if I have a hammer toe but I do know I have a big hard bone on the side of my big toe that everyone says it’s a bun or something
Can you bend your toes after the surgery?
This is an excellent review of hammertoe with a well-thought out layout. I plan to use this video for a presentation although I think I noticed a flaw with the "gun-barrell appearance" part of your video.
When watching the part of the radiograph analysis (1:03) it seems as if the camera is directed to a superior view and the toe bends toward the camera. Am I viewing this wrong?
@HaligonianType1 Although not "unheard of" in medicine, I will say it's unusual
Nice
Good afternoon from India
@ez4u2nvelsewhere Deformities of the digits, can be associated with significant psychological response. Often, these sorts of deformities are correctable with surgical intervention.
We hope that "true" love can look past this, either way...
Sup everyone i have hammer toes on both small toes (outboard ones) had surgery i guess they cut a small piece of bone it worked for couple months now its back to how it was lol sucks bc of the constant shin pain im assuming from the tendons… no pain on tows just wear comfy adidas nmds good luck everyone :)
just got mine done . it hurts !!
How long for healing
я так же делаю, плюс Helal и все одной спицей на 1,5 месяца фиксирую.
13 yrs old video and they do surgery a completely different way today ..
Could one use a hammer to striaghten their hammer toe?
I just had the claw toe surgery and had the pins removed. How do you tape your toes to continue the healing once the metal pins are removed?
Did removing the pins hurt?
@carolynbryce1 Foot types and structure do follow a hereditary pattern. It sounds like you've already tried a number of conservative options. No luck?
I have high arch feet does it effect it even more
I was looking for gmail stuff, how did i get here? o_O
Just last week I had 6 toes done in the same op. They released the tendons too. Can anyone tell me when the pins get taken out, will I be able to walk a day or so after without the shoes on? I find my special shoes very big as I have thin feet haha
Just got my pins out today. Really sad that I can't bend the joints anymore....
CrazieChick1001 what do you mean you can't bend the joints?
TheSayd007 the pins are there to hold the bones together as they heal. After that they are fixed together so now they can’t flex/extend their toe joint
@@nickolasjackson4902
Is there a way to do this without removing the cartilage? Basically just drilling through the bone and cartilage and then removing the PIN so I can move my toe joint?
My 2nd toe has a lot of pain and most of the time it makes a clicking noise when I walk it hurts really bad and hurts even when I touch it in a Certain spot I haven't gone to the doctors because my parents think that I just sprained or broke it but I think that it is something else
Could it be hammer toe??????
Doctors diagnose is arthritis. It's begins with this pain, few years later will be appeared hammer toe or after Morton neuroma. Plus sciatica. You need vitamins E, B & iron. Also hygiene for foot.. Change your shoes for real leather. It's provided oxygen for foot. Bath them with Epsom salt. Check if skin is dry or sweating. Use pure talk or other medicine. Ask pharmacist what is for. And offcourse contact doctor.
@wobbler1957 Noted. I'll touch up the model next Revision
I'd like to expand on the orthopedics side of things, for our biomechanically inclined viewers. I just got to get through interviews this January first.
Hello. I have all ten toes hammer toe, curled or Mallet.
Can I get this surgery under general anesthesia
Wow this looks like it hurts a lot.
I knw😰
Just had hammer toe surgery on both my feet and let me tell you I’m in excruciating pain. 4 days later and it’s painful to walk to the bathroom, take a whole 10 min moving like a turtle to pee.
After all of this time, would you say the procedure was worth it? Are you happy with the appearance of your toes? My toes are now at the point of hurting, and I also want to wear open toe shoes.
I'm having my 4 little toes broke and pinned this week. whats the recovery time as I need to drive asap please?
Deano vincent That would really depend on what you're doctors plan is. It's commonly a few weeks for recovery
I've been told he is going to break and pin I'm 35 and it will be the 4 right foot little toes. Do you have any pics of protective boot please.
Deano vincent please answer
Deano vincent 4 little toes what planet are you from. Lol
Unfortunately I have done the exercise and the insoles.. Didn't work. And unfortunately I have both curled hammer toes on both feet.
So I'm going to see a consultan/surgeon to see if he can fix this
I'm 1 week post op. Insurance cover it. Good luck
@DrGlassDPM
I am a Type 1 diabetic, so I am very careful when it comes to keeping them clean. Altho I have never had an issue, and I heal quite fast. And yes, feet rock. Hah...
I am off to bed... Sleep safe.
I broke the 5th metatarsal six months ago. I then immediately developed a hammer toe and have had surgery. Can the broken metatarsal be the cause of the hammer toe. My toe was okay before the break. The ball of my foot also burns now. Lorri
Lorri Rowe That is why I had to have hammertoe surgery on my left foot several years ago. I never had burning though. Now I have to go in for bunion and hammertoe 2nd-4th toes surgery for my right foot.
Did your toe ever heal? Mine hasn't yet and I had the surgery on Mar. 2nd. I still can't wear my regular shoes and now have to buy 1/2 size larger and have the other one shrunk.
Yes mine did heal. Doc put me in a cast and he would change it once a week for 4-5 weeks.
+Lorri Rowe how is your toe now ? is it healed ?
look who fell asleep first
(prank him john)
this procedure seems pretty intense... wonder if the toes will straighten if put in a brace for a few months.
Si può in italiano?
I was born with hammer toes and i read a doctor's report which said, that we arent born with it. Well why was i then?
@DannySmetana1992 The live footage youtube vids are even more intense to view
Is that safe?? Does it hurt??
Yes
I doesn't really hurt if it is done in a proper way. For interest watch out on our channel. There you can watch a hammer toe treatment from the first interview to the final rehab.
@DubstepIsBetter99 That's called a Morton's Foot type. Some cultures think its ugly, some people think its a sign of wisdom, and other superstitions say it means they can run fast. Your call, really...
I have had the fusion of one toe and the tendon release of 3 toes. You are off your feet for about 14 days and in bed for about 7 days. The operation is really not that bad.
I have hammer toes on both feet last year in June I got a bone removed from my left foot. This year in April I got my hammer toe surgery and Just last Friday I got my other foot hammer toe done
does recovery hurt? bc I've heard that people who've gotten this surgery experienced some pain.
I wouldn't say it hurts very bad but if you dont elevate it and dont ice it it may cause some pain but for me it just hurts i little
That shit hurt🗣 I just had it done
Well.. that looks painful
My current problem, I hate it and what it removed (hammer toe) I'm in South Africa...
Your not alone I barely got mine today and it fuc#### sucks
Had my big toe done , when I was a child. My bit toe is now bent toward my other toes which don't touch the ground. With a sock on, my foot looks like a Woman's pointed High heel shoe. My entire foot is 2 inches shorted than my other one. No pain though.
Also had something was done under my ankle, maybe some tendons cut?
As well as a cast.
But will you be able to bend your toe afterwards
This look painful
Couldn't you just mash it back flat and put a splint on it?
I got the surgery done on both my feet at once and I will tell you that the first day its alright you'll be fine, the second day your in probably some of the worst pain of your life.
I agree 100%
I figure why waste a docs time, and mine with an appointment when really it is something anyone can do. Don't need to be a doctor to remove a toenail and keep it clean and dressed. I see these people go in to the doc, and this huge procedure. Tourniquets, numbing, etc, and the people are off their feet for weeks.
I simply put my lockblade under the nail, pull backwards, clean ti up, and dress it. Done.
I don't feel much pain while healing either.