Curly toes are the most frequent deformity presenting in childhood. This is the result of relative tightness of the flexor tendons on the plantar (lower) surface of the toes. The deformity is maximal in the 3rd, 4th and especially the 5th toes. Often both feet are affected and there may be a family history.
Patients are often brought by their parents in infancy or early childhood. Sometimes the deformity appears to be in the 2nd toe which is seen to over ride the 3rd toe but on inspection one usually finds that it is the tight flexed 3rd toe which is under riding the 2nd.