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In a UK study involving nearly 6000 fractures seen in hospital, 3.6% were broken toes. [10] Fractures of big toes make up about a fifth [3] or third [8] of all toe fractures, and 5.5% of all foot and ankle fractures in major US trauma hospitals. [10] Toe fractures are the most common foot fractures. [8] About 20% of broken toes involve open ...
unstable spinal fracture-dislocation at the thoracolumbar junction: Thoracic Spine Fractures and Dislocations at eMedicine: Hume fracture: A.C. Hume: olecranon fracture with anterior dislocation of radial head: Ronald McRae, Maxx Esser. Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008.
An extended healing period of one or more months is often required. [citation needed] Because of the anatomy of the distal foot and the unique use of the foot, it is often impossible to properly tape or brace the joint. Although difficult, it is not impossible to tape the toe to limit extension (upward bend of toe).
In the foot, the distal phalanges are flat on their dorsal surface. It is largest proximally and tapers to the distal end. The proximal part of the phalanx presents a broad base for articulation with the middle phalanx, and an expanded distal extremity for the support of the nail and end of the toe. [10]: 6b. 3.
The flexor hallucis longus and flexor digitorum longus flex the interphalangeal joint of the big toe and lateral four toes, respectively. The tendons of both of these muscles cross as they reach their distal attachments. In other words, the flexor hallucis longus arises laterally, while the flexor digitorum longus arises medially.
The function of the muscle is to move the fourth toe medially and move the toes together. [ 2 ] The horizontal head of the adductor hallucis also originates from the lateral side of the metacarpophalangeal joint and from the deep transverse metatarsal ligament , [ 2 ] a narrow band which runs across and connects together the heads of all the ...
A portion of the lateral aspect of the distal phalanx is occasionally exposed without fear of infection. Antibiotics are not necessary as the wound is left open to close by secondary intention. Postoperative management involves soaking of the toe in warm water 3 times/day for 15–20 minutes. The wound is healed in 4–6 weeks.
In terms of anatomy location, fractures of finger phalanges are the most common one at the rate of 14 per 100,000 people per year in the general population, followed by fracture of tibia at 3.4 per 100,000 population per year, and distal radius fracture at 2.4 per 100,000 population per year. [5]
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