![]() 29 Seventy-two percent attained near normal total active motion (TAM), and only 2 (6%) had fair to poor results.Ī prospective randomized multicenter study was carried out to compare outcome differences with the wrist immobilized or left free. Nonoperative treatment using a hand-based (wrist free) thermoplastic splint demonstrated no tendon adhesion, contracture, infection, nonunion, or malunion. Ninety-one percent maintained an acceptable position with an average shortening of 1.1 mm that resulted in a mild extensor lag. The injured finger was buddy-taped to the adjacent digit to control for rotation. 17 All fractures were reduced and maintained in a dorsal MCP flexed splint. 8 A method of qualifying this is lack of discomfort when direct manual pressure is applied to the injured bone.Ī prospective cohort study treated both stable (39%) and unstable (61%) extra-articular proximal phalanx fractures nonoperatively. 12 Proximal phalanx fractures will often be clinically healed 4 weeks status post injury, at which time it is unlikely that the fracture will displace. Many stable phalanx fractures can be treated nonoperatively through close monitoring until clinical healing is noted. 8, 14, 17, 22, 29 Allowing active proximal interphalangeal (PIP) joint flexion further compresses the fracture and may be considered for particularly stable fractures. Immobilization in an “intrinsic-plus” position through metacarpophalangeal (MCP) joint flexion reduces the displacing force of the interossei and also shifts the extensor tendon distally so that two-thirds of the proximal phalanx is embraced by the extensor mechanism, adding to the overall fracture stabilization. ![]() Rambacher today.Nonoperative treatment is recommended for stable proximal phalanx fractures. If you suspect that you have a broken toe, or if you’ve fractured a toe previously and didn’t get it checked out, don’t hesitate to book a consultation with Dr. In rare cases, surgery may be necessary to fix a severe fracture using pins and plates to repair the bone and position the toe with the correct alignment for healing. This procedure is done under local anesthetic, so your toe is numb. Rambacher may have to manipulate the pieces of bone back together again in a technique called reduction. Rambacher can immobilize the toe by carefully buddy taping it to the toe next to it. Over-the-counter pain medication and immobilization of the toe is often sufficient for small toe breaks and simple fractures. Rambacher has diagnosed your toe fracture, you have a few treatment options depending on the severity of the injury. This is a bony protrusion that can be painful, particularly when wearing shoes. It’s not unusual for a bone spur to develop at the affected toe. Symptoms of osteoarthritis - pain, and stiffness in the toe, swelling in the joint and problems walking or playing sports - can be difficult to live with. Osteoarthritis typically develops from wear and tear of your joints over time, but walking on a fractured toe can speed up this process - although it may still take months, or even years, for arthritis to develop. Osteoarthritis can develop from an untreated toe fracture If left too long, the infection can restrict blood circulation, leading to bone death of that toe, septic arthritis, and an increased risk of developing skin cancer. When dealt with quickly, a bone infection can be treated with antibiotics. ![]() Symptoms that suggest your toe has developed a bone infection include: You’re at increased risk of developing a bone infection if you have diabetes, rheumatoid arthritis, or a compromised or weakened immune system. When it comes to broken toes, infection risk usually happens if the skin on the affected toe is cut or punctured at the time of the injury. A fractured toe that’s left untreated can lead to infection ![]() Rambacher can provide a full assessment and order X-rays to make the right diagnosis. If you’re certain your toe is fractured or you simply want peace of mind, your Dr. While it’s likely to hurt immediately, it can take a few days for the color to change and swelling to appear. ![]() Look for discoloration, pain, and swelling. Whether you’ve stubbed your toe or injured it playing sports, there are a few obvious signs that you’ve suffered a fracture. When to suspect that your toe is fractured recommend seeking treatment of your toe injury to ensure a swift recovery and to prevent those potential problems. Thomas Rambacher and the team at Podiatry Hotline Inc. While not an emergency, it is vital that you get your toe checked out. However, a fracture that goes undetected and untreated can lead to complications. If you stubbed your toe and felt a snap, you may wonder if it’s broken, and you might think that the “wait and see” approach is the best course of action. ![]()
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