Fracture of base of proximal phalanx

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Pain lateral aspect of foot after injury.

Patient Data

Age: 45 years
Gender: Female

Subtle undisplaced fracture of the base of the proximal phalanx of the little toe.

Case Discussion

Pretty subtle fracture of the proximal phalanx, observed only on the oblique projection.

Couple of practical life lessons:

- orthogonal views in trauma are for a good reason.  Often the pathology if only seen on one view.

- with high volumes and the need to report efficiently with so many normals this kind of finding is easy to miss.

This is an ideal rapid reporting radiograph.

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