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Karan Malhotra Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Kinner Davda Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Dishan Singh Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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. The main adult sagittal plane deformities consist of claw toes, hammer toes and mallet toes ( Fig. 2 ). Axial plane deformities include crossover toes. These deformities have been variously defined in the literature, perhaps in part because the

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Lorenz Pisecky Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias Luger Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Antonio Klasan Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Tobias Gotterbarm Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias C. Klotz Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Rainer Hochgatterer Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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orthopaedic surgeons to hold the reduction of the osteotomy in hallux valgus, hammer toe, claw toe, metatarsalgia and digitus quintus varus deformities. Due to their similarity with conventional titanium screws and larger diameter, bioabsorbable screws made

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Carlos Maynou CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Christophe Szymanski CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Alexis Thiounn CHU Lille, Orthopaedic Department, F-59000 Lille, France

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forefoot. Fig. 1 a and b) Rigid cavus foot with severe plantarflexed forefoot and claw toes. The posterior cavus or calcaneocavus is characterised by an isolated high calcaneal pitch of greater than 30° related to a weakness of the

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Djandan Tadum Arthur Vithran Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China

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Xu Liu Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Miao He Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Anko Elijah Essien Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Michael Opoku Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Yusheng Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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Ming-Qing Li Department of Orthopaedics, Xiangya Hospital of Central South University, Changsha, China

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. In severe cases, the first and fifth metatarsal bones may appear as skin ulcers due to long-term wear ( 5 ). When the child has claw toe deformity due to friction with the shoe, the back of the toe may also appear callose or have skin ulcers. Children

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Nikolaos Gougoulias Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Vasileios Lampridis Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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intermetatarsal/perineural bursitis), and the patient will have very often noticed this gradually developing, in association with symptoms becoming apparent. Lesser toe deformities (e.g. clawed, or hammer toes) are often the result of chronic degeneration and

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Ignacio Sanpera Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Sandra Villafranca-Solano Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Carmen Muñoz-Lopez Hospital Universitary Son Espases, Palma de Mallorca, Illes BalearsSpain

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Julia Sanpera-Iglesias Evelina Children’s Hospital, London, UK

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foot. Plantar fascial release may have some effect on releasing the retracted foot intrinsic muscle, helping to decrease the longitudinal arch of the foot, but when a claw toe deformity is present, fascial release may be contraindicated. 7 The next

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Andreas F. Mavrogenis First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Panayiotis D. Megaloikonomos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Thekla Antoniadou First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Vasilios G. Igoumenou First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Georgios N. Panagopoulos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Leonidas Dimopoulos First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Konstantinos G. Moulakakis Department of Vascular Surgery, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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George S. Sfyroeras Department of Vascular Surgery, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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Andreas Lazaris Department of Vascular Surgery, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece

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, which will culminate in a limitation of foot mobility and an abnormal walking pattern. Common diabetic foot deformities are claw toes (metatarsophalangeal joint hyperextension with interphalangeal flexion), hammer toes (distal phalangeal extension

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E. Mascard Necker University Hospital, 75015 Paris, France.

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N. Gaspar Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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L. Brugières Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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C. Glorion Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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S. Pannier Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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A. Gomez-Brouchet Laboratoire d'anatomie et cytologie pathologiques, Institut Universitaire du Cancer de Toulouse- Oncopole, 1 avenue Irène Joliot-Curie. 31059 Toulouse Cedex 9, France

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limit the development of a secondary claw toe. It is generally recommended to resect the sesamoid bones and, if possible, to keep more plantar skin. Partial longitudinal amputation usually gives good functional results thanks to an adapted shoe fitted

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Stefan Rammelt University Center of Orthopaedics & Traumatology, University Hospital Carl Gustav Carus, Dresden, Germany

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. In addition, the limb should be checked for pathological disorders unrelated to the fracture that may indicate a neurological disorder, like dry, scalding skin, claw toes, subtle cavus and, above all, loss of protective sensation in the sole of the

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Paulo Diogo Cunha Orthopedic Surgery Department, Hospital de Braga, Portugal

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Tiago P Barbosa Orthopedic Surgery Department, Hospital de Braga, Portugal

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Guilherme Correia Orthopedic Surgery Department, Hospital de Braga, Portugal

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Rafaela Silva Anesthesiology Department, Hospital de Braga, Portugal

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Nuno Cruz Oliveira Orthopedic Surgery Department, Hospital de Braga, Portugal

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Pedro Varanda Orthopedic Surgery Department, Hospital de Braga, Portugal
Life and Health Science Research Institute, University of Minho, Portugal

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Bruno Direito-Santos Orthopedic Surgery Department, Hospital de Braga, Portugal
Life and Health Science Research Institute, University of Minho, Portugal

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perioperative setting. Signs and symptoms can range from loss of sensation in the fourth and fifth fingers and weakness in the opposition and abduction of the fifth finger to a claw-like hand due to atrophy of the intrinsic muscles ( 5 , 22 , 23 ). Forearm

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