While the causes and effects of these two deformities are similar in many ways, hammer and claw toes are distinct conditions from one another. The second toe (closest to the big toe) is most prone to develop this deformity. It occurs when the middle knuckle joint of the toe becomes rigidly bent, forcing the toe downward. Claw toe, on the other hand, frequently affects more than one toe. Claw toes also tend to affect all three joints of the toe, forcing the toe to bend upward at its base, downward at the middle toe joint and downward at the joint located at the tip of the toe.
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