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Degenerative arthritis of the distal (outer) big toe joint can occur as a complication of fractures, especially fractures to the proximal (inner) end and diaphysis (midsection) of the proximal bone. [10] If the proximal phalanx of the big toe is broken, hallux valgus (bunion) is a frequent complication. [10]
Proximal fractures of 5th metatarsal. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture [2] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). [3] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). [4]
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
The phalanges of the foot differ from the hand in that they are often shorter and more compressed, especially in the proximal phalanges, those closest to the torso. [3] A phalanx is named according to whether it is proximal, middle, or distal and its associated finger or toe. The proximal phalanges are those that are closest to the hand or foot.
The function of the muscle is to move the third 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 ...
Jones fracture – a fracture of the fifth metatarsal; March fracture – a fracture of the distal third of one of the metatarsals occurring because of recurrent stress; Calcaneal fracture; Broken toe – a fracture of a phalanx; Cuneiform fracture – Due to the ligamentous support of the midfoot, isolated cuneiform fractures are rare. [16]
The rest of the toes each have three phalanx bones (proximal, middle, and distal phalanges), so they have two interphalangeal joints: the proximal interphalangeal joint between the proximal and middle phalanges (abbreviated "PIP joint") and the distal interphalangeal joint between the middle and distal phalanges (abbreviated "DIP joint").
Distal swelling of the toe is considered to be a feature of the disease. In grade III lesions osteolysis is seen in the region of the proximal interphalangeal joint with a characteristic tapering effect. Dispersal of the head of the proximal phalanx is frequently seen. Finally, after autoamputation, the base of the proximal phalanx remains.