First distal phalanx (toe) fracture
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.
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Comminuted fracture of first toe at the distal aspect of the terminal phalanx.
On examination, nail was separated from the nail bed with a small nail bed laceration.
- 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.