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Dr. Ebraheim’s educational animated video describes the condition of claw toe and other associated conditions. Follow me on twitter: #!/DrEbraheim_UTMC Find me on Instagram @OrthoInitiative Claw Toe and More Claw toes have PIP flexion and MTP hyperextension (irreducible). You may also find DIP flexion. The claw toe deformity is usually associated with an underlying neurologic condition such as diabetic peripheral neuropathy and Charcot-Marie-tooth disease. Claw toes deformity of the lesser toes can follow severe closed calcaneal fracture as a result of contracture of the intrinsic flexor muscles of the foot. Excision of the lateral and medial sesamoids may lead to claw toes. In claw toes, there is a muscle imbalance where the extrinsic muscle overpowers the weaker intrinsic muscle and can cause claw toes. The claw toe and hammer toe deformities are associated with dorsal subluxation of the interossei, which can no longer serve to flex the metatarsophalangeal
