Authors of section


Richard Buckley, Andrew Sands, Michael Castro, Christina Kabbash

Executive Editors

Joseph Schatzker, Richard Buckley

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2nd-5th row, proximal phalanx, base, intraarticular, T-type

Mechanism of the injury

These fractures usually result from low impact injury (such as stubbing the toe) or low impact crush.



Conventional radiographs of the forefoot/second toe. AP and lateral oblique views are sufficient for diagnosis and treatment.

The image shows an x-ray of comminuted base of first and second proximal phalanges.


Clinical signs

The clinical picture includes swelling, ecchymosis, and pain with range of motion of the MTP joint. In some fractures, a deformity may be present.

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