Toe and Forefoot Fractures - OrthoInfo - AAOS
The forefoot has 5 metatarsal bones and 14 phalanges (toe bones). There are 3 phalanges in each toe — except for the first toe, which usually has only 2. All the bones in the forefoot are designed to work together when you walk. A fracture, or break, in any of these bones can be painful and impact how your foot functions.
Evaluation and Management of Toe Fractures - AAFP
2003年12月15日 · Application of a gentle axial loading force distal to the injury (i.e., compressing the distal phalanx toward the foot) may distinguish contusions from fractures. If this maneuver...
Diagnosis and Management of Common Foot Fractures | AAFP
2016年2月1日 · Examination of the metatarsals should include palpation of the metatarsal base, shaft, and head, as well as examination of the proximal tarsometatarsal and distal metatarsophalangeal joints....
If compression of the distal phalanx (toward the foot) pro-duces sharp pain in a more proximal phalanx, it suggests a fracture of that phalanx. position, although this type of pain also...
Clinical Practice Guidelines : Toe Fractures - Emergency Department
Phalangeal fractures are the most common foot fracture in children. 4. What do they look like – clinically? Fractured toes usually present with localised bruising and swelling. It is also important to check for significant nailbed injury. Any nail avulsion or displacement out of eponychial fold may indicate a Seymour fracture (see below) 5.
Management of Toe Fractures - Sports Medicine Review
The so-called bedroom (i..e nightstand or nightwalker) fracture results from a sudden abduction force applied to the fifth digit against a bedpost while walking in the dark. 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.
Toe Fractures - Physiopedia
Stubbed toe can occur when flexion of the distal phalanx in conjunction with a proximal shearing force causes a fracture or subluxation. Indirect trauma such as hyperflexion or hyperextension can also lead to avulsion fractures, but these types of injuries are less common.
Phalanx fractures typically occur by crush injury, hyperexten-sion, or direct axial force (eg, stubbing the toe).3 Patients with phalanx fractures typically present with pain at or near the site of injury, edema, ecchymosis, and erythema. Throbbing pain is characteristic, and dependent position may worsen the pain.1 Emergently evaluate any ...
Foot Fractures - Phalanx | Pediatric Orthopaedic Society of
Foot Fractures - Phalanx Key Points: One of the most common foot fractures in children; Often not treated by orthopedic surgeons; Open fractures require irrigation & debridement; Nail-bed injuries involving the germinal matrix should be repaired; Displaced intra-articular fractures of the hallux require reduction; Description:
Foot and toe fractures - WikEM
XR foot and/or toe x 2 view; Consider need for more proximal or distal plain films; Consider non-contrast CT of the foot; Diagnosis