Hammertoes pp 287-306 | Cite as

Lesion-Directed Fifth Toe Surgery

  • Mickey D. StappEmail author
  • Trevor S. Payne


Patients often present with fifth digit pain. The assortment of pathology related to fifth digits is often more complex than initially suspected. Specifically, lesions associated with hammertoes and other deformities of the fifth digit need to be correctly evaluated before meaningful long-term correction can be obtained. There are several levels of deformity correction that will need potential attention. This chapter will focus on the presentation, identification, and specialized surgical treatment of deformities of the fifth toe and the related hyperkeratotic lesions associated with the different deformities of the fifth toe.


Fifth toe surgery 5th toe surgery Adductovarus deformity Syndactylization Fifth toe hammertoe Cock-up 5th hammertoe 


  1. 1.
    Ellington JK. Hammertoes and clawtoes: proximal interphalangeal joint correction. Foot Ankle Clin. 2011;16(4):547–58.CrossRefGoogle Scholar
  2. 2.
    Coughlin MJ, Kennedy MP. Operative repair of fourth and fifth toe corns. Foot Ankle Int. 2003;24(2):147–57.CrossRefGoogle Scholar
  3. 3.
    Dereymaeker G, van der Broek c. Biphalangeal fifth toe. Foot Ankle Int. 2006;27(11):948–51.CrossRefGoogle Scholar
  4. 4.
    George M. Biphalangeal fifth toe: an increasingly common variant? J Anat. 2001;198(Pt 2):251.CrossRefGoogle Scholar
  5. 5.
    Wilson JN. V-Y correction for varus deformity of the fifth toe. Br J Surg. 1953;41(166):13–5.CrossRefGoogle Scholar
  6. 6.
    Ruiz-Mora J. Plastic correction of overriding 5th toe. Orthop Lett Club. 1954;6:6.Google Scholar
  7. 7.
    Janecki CJ, Wilde AH. Results of phalangectomy of the fifth toe for hammertoe. The Ruiz-Mora procedure. J Bone Joint Surg Am. 1976;58(7):1005–7.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Private PracticeAugusta Foot & Ankle, PCEvansUSA
  2. 2.The Podiatry InstituteDecaturUSA

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