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Toe Hammering/Clawing

Toe Hammering/Clawing
Description
  • Toe hammering/clawing (metatarsal heads forced downward) is often associated with pes cavus: high-arch (accentuated-arch) foot.
Neuromuscular causes
  • Neuropathy (eg, chronic diabetic polyneuropathy vs Charcot-Marie-Tooth diease)
  • Muscular Dystrophy (eg, Duchenne muscular dystrophy, Becker muscular dystrophy)
  • Spinal cord injury (eg, poliomyelitis with chronic changes or other long-term injury)
  • Spastic hemiplegia/hemiparesis with chronic joint arthropathies (eg, "cerebral palsy")