Authors of section

Authors

Khairul Faizi Mohammad, Brad Yoo

Executive Editors

Markku T Nousiainen, Richard Buckley

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Diaphyseal and extraarticular end segment fractures of the proximal hallux

Definition

These are proximal hallux fractures not involving the articular surface.

There are several possible configurations, including both simple and multifragmentary patterns.

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Mechanism of the injury

A spectrum of violence can result in this fracture.

Low energy typically results in simple fractures, and high energy typically results in multifragmentary fractures.

Imaging

AP and lateral oblique views are sufficient for diagnosis and treatment.

D400 Definition
Lateral oblique X-ray

Presentation

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

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