Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of deformity of the [digit #] toe, characterized by flexion at the proximal interphalangeal (PIP) joint. Patient reports associated pain, localized callus formation over the dorsal aspect of the PIP joint, and difficulty with shoe gear. Onset is insidious with progressive worsening over [duration]. Denies history of trauma, ulceration, or neurovascular compromise.
Clinical Examination Findings
Physical examination reveals a fixed/flexible hammer toe deformity of the [digit #] toe. Dorsal PIP joint prominence noted with overlying hyperkeratotic lesion/corn. No signs of acute inflammation, erythema, or infection. Range of motion at the metatarsophalangeal (MTP) joint is [stable/restricted]. Distal neurovascular status is intact with palpable pedal pulses and normal capillary refill.
Treatment Protocol
Conservative management initiated including: modification of shoe gear (wide toe box), orthotic inserts/metatarsal pads, and regular debridement of hyperkeratotic lesions. Patient advised on toe spacers/splints. If symptoms persist, surgical consultation for corrective osteotomy or arthroplasty will be considered.