Hallux, proximal phalanx, base, intraarticular, comminuted

These fractures usually result from a high impact trauma or crush injury.

Conventional radiographs of the great 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.

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