First distal phalanx (toe) fracture

Case contributed by Dr Victoria Ho

Presentation

Presented with nail bed injury of right great toe by lawn mower. Otherwise fit and well, no regular medications, no known drug allergy. Last ADT 12 years ago.

Patient Data

Age: 68
Gender: Male
Modality: X-ray

Comminuted fracture of first toe at the distal aspect of the terminal phalanx. 

Case Discussion

On examination, nail was separated from the nail bed with a small nail bed laceration.

Lessons learned:  

  • always consider open fracture if suggested by mechanism of injury and clinical finding. 
  • use of digital block for proper nail bed assessment. 
  • ensure ADT is up to date for all outdoors injuries. 
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Case Information

rID: 44688
Case created: 2nd May 2016
Last edited: 6th May 2016
Inclusion in quiz mode: Included

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