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Foot & Ankle
intermediate
X-Type

Phalangeal Fractures of the Foot - Diagnosis and Management

Toe Fractures

A 45-year-old man presents after stubbing his right great toe against furniture. He reports immediate pain and swelling. Examination reveals swelling, ecchymosis, and tenderness over the proximal phalanx of the hallux. He cannot bear weight due to pain. Radiographs show a displaced intra-articular fracture of the base of the proximal phalanx of the great toe with 3mm articular step-off extending into the metatarsophalangeal joint. Regarding management of this injury:

Mark each as TRUE or FALSE

A

Great toe phalangeal fractures are more functionally significant than lesser toe fractures due to th...

B

Surgical options for displaced great toe proximal phalanx fractures include ORIF with mini-fragment ...

C

All great toe fractures can be managed non-operatively with buddy taping regardless of displacement ...

D

Complications of inadequately treated great toe phalangeal fractures include HALLUX RIGIDUS (post-tr...

E

Non-displaced great toe phalangeal fractures can be managed conservatively with a stiff-soled shoe o...

Answer the questions to see explanations

Click T (True) or F (False) for each option