Symphalangism of little toe with fracture
Stubbed toe against the door.
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There is a fracture of the distal phalanx of the little toe, which comprises a congenital fusion of the distal and middle phalanges (anatomical variant).
The middle and distal phalanges of the 5th toe may be fused (symphalangism). Care should be taken to differentiate a fracture of such a phalanx from a natural joint line.