Hallux, proximal phalanx, head, intraarticular
Mechanism of the injury
These fractures usually result from a low impact injury, such as stubbing the toe.
Imaging
Conventional radiographs of the great toe. AP and lateral oblique views are sufficient for diagnosis and treatment.
This image shows an intraarticular proximal phalanx fracture involving the IP joint.
Clinical signs
The clinical picture includes swelling, ecchymosis, and pain with range of motion. In some fractures, a deformity may be present.
Pearl: These injuries are commonly associated with a painful subungual hematoma. Painful collections may be decompressed with an 18-gauge needle through the nail. Non-painful collections do not require evacuations. If decompression is needed, it is advisable to perform the procedure within 24 hours of the injury.
