In Athletes Introduction Toe fractures represent one of the most commonly encountered fracture patterns in the clinical setting and virtually all of them can be treated without surgery.
In Athletes Toe fractures represent one of the most commonly encountered fracture patterns in the clinical setting and virtually all of them can be treated without surgery. "The epidemiology of fractures in children." Injury 38.8: 913-922.[/ref]. The incidence is estimated between 14 and 39.6 cases per 10,000 people.. The lesser digits are affected much more commonly (~80%) than the great toe (~20%). Case Vignette A 63 year old female presents to your clinic with toe pain after colliding with her night stand the previous evening.
On exam, the 5th digit is ecchymotic and swollen. Radiographs reveal a nondisplaced proximal phalanx fracture of the 5th digit. Which of the following treatment options is most appropriate for this patient?
A) Surgical referral B) Cast and non weight bearing for 6 weeks C) No treatment indicated D) Rigid surgical shoe for 4 to 6 weeks Mechanism of injury is typically from direct trauma such as from striking objects, assault, MVC, fall and sports and recreational activity. Indirect trauma such as hyperflexion or hyperextension can also cause avulsion fractures. 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. Associated conditions include nailbed injuries and subungual hematomas. Clinical example of fracture of the 5th toe.
If you are experiencing symptoms that may be related to management of toe fractures, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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