The little toe may curl inward underneath its neighbour, so that the nail faces outward. With this inherited problem, the fat pad on the bottom of the toe (normally used for walking) loses contact with the ground. Corns and pain may result.

Treatment: Derotation Arthroplasty.
A wedge of skin and bone is removed to uncurl (“de-rotate”) the toe.

Follow-up Care:
Care may involve follow-up visits and wearing a bandage, a splint, and sometimes a surgical shoe for several weeks following surgery.