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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.
Minimally displaced fracture seen in the neck of 5th toe proximal phalanx. Difficult to appreciate due to adjacent skin fold. From the case: 5th toe proximal phalanx fracture. x-ray. Zoomed by 50% frontal view demonstrating clearly 5th toe proximal phalanx fracture.
15 Δεκ 2003 · Toe fractures most frequently are caused by a crushing injury or axial force such as stubbing a toe. Joint hyperextension and stress fractures are less common. Most patients have point...
2 Ιουν 2022 · Although often dismissed as inconsequential, toe fractures that are improperly managed can lead to significant pain and disability. Treatment is generally straightforward, with excellent outcomes. This topic will review the evaluation and management of toe fractures in adults.
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.
Anatomy. The first toe has only two phalanges; the second through the fifth toes generally have three, but the fifth toe sometimes can have only two (Figure 1). Flexor and extensor...
Fracture of the proximal phalanx of the 5th digit with lateral dispalcement. Standard radiographs are sufficient to make the diagnosis. CT and MRI are not needed unless there is more trauma, concern for stress fracture or other soft tissue injuries.
