The clinical features of claw toe are pain in the forefoot - metatarsalgia - and under the metatarsal heads. The deformity is, at first, passively correctable. Later in the course of the condition the joints become stiff and the deformity fixed. At this stage there may also be dislocation of the metatarsal heads. There may be the development of painful callosities under the metatarsal heads and on the dorsum of the foot.
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