First distal phalanx (toe) fracture

Case contributed by Dr Victoria Ho


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

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. 
PlayAdd to Share

Case information

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

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.