October 7, 1911


Author Affiliations


JAMA. 1911;LVII(15):1207. doi:10.1001/jama.1911.04260100033010

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The following case is reported both on account of the good result secured and because, so far as is known to me, it is the first attempt to adapt Murphy's arthroplastic operation to hammer-toe.

History.  —The patient, a woman of 22, came to me in January, 1911, with a hammer-toe, which had been present since childhood and which caused her great pain on walking.

Examination.  —The third toe of the left foot was a typical and very marked hammer-toe, with a tender callus on the top of the first and on the bottom of the second joint, the adjoining toes almost touching in front of the vertical second phalanx and above the terminal phalanx, and an almost complete ankylosis of the first phalangeal joint. A general examination was negative.

Treatment.  —I advised amputation, which was refused. As the patient insisted on trying some conservative operation, it occurred to me that

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