Bifid distal phalanx

Case contributed by Anne Gisik
Diagnosis certain

Presentation

Presented to ED with forefoot pain after stubbing foot

Patient Data

Age: 10 years
Gender: Unknown
x-ray

There is a small non-displaced fracture through the third metatarsal shaft. A bifid distal phalanx of the fifth digit was an incidental finding.

Case Discussion

Clinically, the patient had swelling over the forefoot and was maximally tender over the same area. There is a small non-displaced fracture through the third metatarsal shaft. A bifid distal phalanx of the fifth digit was an incidental finding. This correlated clinically with a split nail and enlarged toe compared with the left foot. The patient was managed in a moonboot for their metatarsal fracture.

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