Big toe fracture

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Pain in the left big toe after slipping in the bathroom. on examination: an open wound is noted in the left great toe with deformity.

Patient Data

Age: 30 years
Gender: Male
x-ray

X-ray shows intra-articular displaced fracture at the head of the proximal phalanx of the left big toe, with interphalangeal joint dislocation.

Case Discussion

Because of the first toe's role in weight-bearing, balance, and pedal motion, the patients with first-toe fracture-dislocations, displaced intra-articular fractures, and unstable displaced fractures, the referral of those is highly recommended. 

The decision regarding the operative approach and method of fixation is usually based on the surgeon's experience, fracture pattern, and size of fragments.

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