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Not to be used for advertising or in a defamatory context .Big toe curved inwards in a 6 year old male patient. This is a common condition of the big toe. Around a third of adults will experience a misalignment of the big toe. However, the age at which this develops is decreasing. It is still not completely clear why and how this develops. It may be the result of a congenital abnormalities or incorrect footwear. This case, however, is a normal variant. (KEYSTONE/SCIENCE PHOTO LIBRARY/DR P. MARAZZI)