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Consult Request Guidelines
Suggested Pre-Referral Evaluation and Management Guidelines
1) Wider toe box shoes
2) Hapad metatarsal bar (orthotic)
3) Hammertoe splint (Budin splint)
4) Silicone toe cover
Suggested Additional Test/Management Prior to Specialty Visit
Patient Education/Information (includes preps)
Most deformities can be treated non-surgically.
Surgery can straighten the toe; however, active function of the toe is limited.
Pins are used temporarily for 5 weeks which stick out of the toe.
Within 6 weeks
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Patients must obtain and hand carry hardcopy radiographic studies (MRI/CT/X-rays)
Clinic Contact Information
Clinic Location Sites
Ann Arbor - South Main Orthopedics
UM Consulting Physician
James Robert Holmes MD
Todd Andrew Irwin MD