Power washer injury - great toe

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Severe pain after power washer injury to the great toe.

Patient Data

Age: 30 years
Gender: Male
x-ray

Soft tissue injury about the medial aspect of the first metatarsophalangeal joint. Extensive soft tissue air within the forefoot about the great toe and medial second toe. Few fine radiodensities about the soft tissues are likely external.

Case Discussion

Power washer injury to the great toe, resulting in the dissection of air into the soft tissues, evidenced by soft tissue emphysema on the radiograph.

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