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Dr Arun Kumar.S.Bilodi, Dr.M.R.Gangadhar


Aim :-The objective of present study is report a unusual case of malposition and overlapping of fourth toe on the fifth toe. Both the toes were shorter than other medial three toes. Place and period :- This case was studied in the month of March 2009 at Bangalore. Case Report :-A female 19 years old ,came to outpatient of hospital with pain in right foot. On examination, she had malpositioning as well as over lapping of 4th toe over the 5th toe. So she had difficulty in walking, tendency to fall sideways and even to run to catch the bus. There was alteration in her gait too. Overall, she had great difficulty in carrying out her normal activities and she had gone in for depression as she was more conscious about her deformed and anomalous right foot. She was thoroughly examined for her deformity .Later she underwent surgery and she was corrected. Her post operative period was uneventful. DISCUSSION:- This is deformity of toe where there is overlapping of 4th toe over the 5th toe .This may be due to lack of space or deformed position in the uterine cavity during intra uterine period. This present case has been reviewed, compared and correlated with the available literatures. CONCLUSION:- This knowledge of deformity of fourth toe will be useful to orthopaedic surgeons and orthopaedic surgeon can study the deformity to correct it by surgical line of treatment Hence it has been studied and reported.

Keywords: Bi phalangeal fifth toe,- Hammer toe -Claw toe- Over Riding of Fifth Toe –over riding of 4th toe –malposition of 4th toe Congenital Digitus Minimus Varus-- Congenital Digitus Quinti Varus.-Triplane Deformity-overlapping of toes.

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