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The proximal phalanx is the toe bone that is closest to the metatarsals. Because it is the longest of the toe bones, it is the most likely to fracture. A fractured toe may become swollen, tender, and discolored.
In children, a physis (i.e., cartilaginous growth center) is present in the proximal part of each phalanx (Figure 2). The same mechanisms that produce toe fractures may cause a ligament...
Fractures in adults: (See "Metatarsal shaft fractures" and "Proximal fifth metatarsal fractures" and "Stress fractures of the metatarsal shaft" and "Cuboid and cuneiform fractures" and "Non-stress fractures of the tarsal (foot) navicular".)
What are the symptoms of a broken toe? The most common signs of a toe fracture are throbbing pain and swelling. Other broken toe symptoms may include: Inability to bend your toe or touch it without pain. Inability to walk or put any weight on your foot. Numbness or tingling.
Abductor, interosseus, and adductor muscles insert at the proximal aspects of each proximal phalanx. The pull of. Toe fractures are one of the most common fractures diagnosed by primary...
Stubbed toe can be defined as flexion of the distal phalanx in conjunction with a proximal shearing force which may or may not cause a fracture or subluxation. Associated conditions include nailbed injuries and subungual hematomas.
Displaced/Angulated Phalanx Fractures. Can be reduced in ED: buddy tape in place with gauze between the toes. Proximal fractures in children <5yrs discuss with local Orthopaedic team as reduction success rate may be affected by size of phalanx. Fracture clinic in 7 days. Dislocation
Although toe fractures predominantly involve the first and fifth toe, fractures of the lesser digits are more common than those of the great toe. The proximal phalanx is the most usual fracture site, because of its greater length compared with the rest of the toe bones.
Broken toes are common, usually caused by something heavy hitting them or stubbing a toe against an object. They are quite painful and can make walking difficult. If untreated, serious fractures can heal incorrectly and cause other foot problems down the line.
Take anteroposterior, lateral, and oblique views of each toe if rotational deformity or joint involvement is suspected or if the proximal phalanx of the great toe is injured; otherwise x-rays are usually unnecessary because treatment is the same whether fracture is present or not.