0
ARTICLE |

Claw Toes: An Early Sign of Lumbar Diskogenic Disease

Gerald E. Rubacky, MD
JAMA. 1970;214(2):375. doi:10.1001/jama.1970.03180020093028.
Text Size: A A A
Published online

ABSTRACT

To the Editor.—  After a recent review of a large number (over 300) of preoperative and postoperative patients with lumbar disk disease or claw toes, or both, I feel I have excellent clinical evidence to support my thesis that lumbar diskogenic disease is now the most common cause of clawing of the toes. For reasons of simplicity and clarity, I make no clinical distinction between claw toes and hammer toes. I do, however, differentiate between functional and true claw toes, the former being apparent but with no fixed deformity.More than 75% of our patients with claw toes had lumbar disk disease as proved by myelogram or surgery. Moreover, there was an 83% side correlation, that is, the foot exhibiting the most severe clawing of the toes was on the same side as the most severe sciatica.Clawing of the toes is due to weakness or atrophy of the lumbricales,

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();