Presentation
Crush injury to the left first digit. History of previous trauma and chronic pain of the left first digit.
Patient Data
There is a curvilinear non-displaced fracture of the left 1st digit, terminal phalanx, medial cortex.
There is an incidental medial terminal phalangeal (1st digit) turret exostosis, developing hallux rigidus and previous post-surgical amputation of the 5th digit.
Case Discussion
The patient suffered a metal pole crush injury of the left 1st digit and sustained the phalangeal tuft fracture. There is a history of previous work-related trauma and surgical amputation of the 5th digit, middle and distal phalanx.
There is a typical benign, turret exostosis involving the basal medial cortex of the 1st terminal phalanx.
In view of the clinical confirmation of chronic pain and limitation of motion involving the 1st metatarsal phalangeal articulation, radiological features suggest developing hallux rigidus.
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