CME OnDemand: Novel Imaging and MIS Techniques in Foot and Ankle Care (2026)-MIS in Lesser Toe Deformities

Video Transcription

Video Summary

Chris Miller introduces minimally invasive surgery (MIS) for lesser toe deformities, focusing on how tendon, muscle, and ligament balance drives hammer toe and claw toe mechanics. He reviews key stabilizers (plantar plates, extensor hood, intrinsic/extrinsic muscles) and explains how MTP hyperextension alters extensor and flexor function, worsening deformity over time. Miller emphasizes MIS can mirror standard open hammer toe principles (PIP resection/arthrodesis) using familiar implants, but with smaller incisions and less soft-tissue trauma. He demonstrates a case of neurogenic hammer toes in a patient with CRPS, treated with MIS PIP fusion and screw fixation, achieving improved alignment.

Asset Subtitle

In this lesson Dr. Chris Miller introduces minimally invasive surgery (MIS) for lesser toe deformities, focusing on how tendon, muscle, and ligament balance drives hammer toe and claw toe mechanics.

Keywords

minimally invasive surgery

hammer toe deformity

claw toe mechanics

metatarsophalangeal hyperextension

PIP fusion screw fixation