Some deformities that affect the little toe are not our fault. Congenital deformities such as overlapping toes and underlapping toes are often identifiable shortly after birth. They are most common on the fifth toe of the foot, although they can affect the other toes as well. They lead to complications such as calluses and blisters forming between or on the top of the toes, which increase a person's susceptibility to foot ulceration. Although these deformities are congenital, they can be made worse by wearing ill-fitting or unsupportive shoes. A person who is born with an overlapping or underlapping little toe will want to choose his or her footwear carefully so as to not aggravate the condition.

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