Second toe proximal phalanx fracture

Case contributed by Dr Derek Smith

Presentation

Crush injury. Painful midfoot. Is there a fracture?

Patient Data

Age: 65 years
Gender: Male

Impacted fracture at the base of the second toe proximal phalanx. No articular involvement. Alignment preserved. No other fracture.

Zoomed and manipulated images of second toe proximal phalanx fracture.

Case Discussion

Impacted fracture of the second toe proximal phalanx. It can be hard to appreciate on the normal views, but there is a break in the cortex with some angulation, and closer views show the impacted fracture.

Close inspection of the small bones in the hands and feet is important, particularly when in an examination setting!

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Case information

rID: 57402
Published: 22nd Dec 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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