Minimally invasive management of dorsiflexion contracture at the metatarsophalangeal joint and plantarflexion contracture at the proximal interphalangeal joint of the fifth toe

Surgical management of persistent dorsiflexion contracture at the metatarsophalangeal joint and plantarflexion contracture at the proximal interphalangeal joint of the fifth toe is indicated in patients with marked rigidity and pain, following failure of conservative management with appropriate orthoses and shoes with a wide toe box.