Hundreds of patients have been referred to the Physical Therapy Department by the orthopedists of Stark General Hospital during the past eighteen months. They were sent, for the most part, for rehabilitation of muscles and joints of the lower extremities following severe injuries and infections that were, of necessity, immobilized over long periods of time. In the restoration of function and mobility to these injured extremities, 8 cases of clawing of the great toe, not present at the time of injury, were observed by one of us (A. M. P.). In this group of 8 cases the deformity appeared in the presence of chronic infection, prolonged healing following surgery of the foot, and with osteomyelitis resulting from gunshot wounds or compound fractures, where prolonged immobilization is imperative.
The only author to have recognized a similar entity is James Mennell in Sir Robert Jones's book "Orthopedic Surgery of Injuries,"1 who
PRUCE M, HAGEN H. CLAWING OF THE GREAT TOE FOLLOWING IMPROPER APPLICATION OF PLASTER. JAMA. 1943;123(15):955–956. doi:10.1001/jama.1943.02840500019006
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