Presentation
Crush injury. Painful midfoot. Is there a fracture?
Patient Data
Age: 65 years
Gender: Male
From the case:
Second toe proximal phalanx fracture
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Impacted fracture at the base of the second toe proximal phalanx. No articular involvement. Alignment preserved. No other fracture.
From the case:
Second toe proximal phalanx fracture
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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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