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Apart from the big toe, the so-called lesser toes (2, 3, 4 & 5) are very commonly deformed with a variety of deformity types. These include hammertoe, mallet toes, clawed toes and overriding toes. The 2nd toe (next to the big toe) is most commonly affected, not only by hammertoe but also by being retracted (pulled up) usually as a result of a tight tendon or rupture of the ligament under the ball of the foot (plantar plate rupture). It is very commonly seen in association with a bunion deformity.

A variety of toe surgery procedures exist to correct these types of problems including toe shortening surgery for overlong toes. Surgery will include joint pinning and tendon lengthening procedures to achieve good realignment.