Foot and toe fractures: Difference between revisions
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== | ==Background== | ||
[[File:Foot_Bones.jpg|thumb|Bones of the foot.]] | |||
[[File:Subtalar Joint.png|thumb|Talus and subtalar joint]] | |||
{{Foot and toe fractures DDX}} | |||
== | ==Clinical Features== | ||
* | *History of trauma | ||
* | *Pain over fracture site | ||
== | ==Differential Diagnosis== | ||
*[[Fifth | {{Foot diagnoses}} | ||
==Evaluation== | |||
===Workup=== | |||
*XR foot and/or toe x 2 view | |||
*Consider need for more proximal or distal plain films | |||
*Consider non-contrast CT of the foot | |||
===Diagnosis=== | |||
<gallery mode="packed"> | |||
File:Boehlers_Angle.jpg|[[Calcaneus fracture]] | |||
File:CuboidAvulsionFracture.jpg|[[Cuboid fracture]] | |||
File:A Medial cuneiform fracture.png|[[Cuneiform fracture]] | |||
File:PMC3497949 10.1177 1941738112459489-fig14.png|[[Fifth metatarsal fracture]] | |||
File:Lisfranc.jpg|[[Lisfranc injury]] | |||
File:NavicularFracMark.png|[[Navicular fracture]] | |||
File:PMC3411541 cmed-5-2012-039f3.png|[[Non-fifth metatarsal fracture]] | |||
File:Talus Fx.png|[[Talus fracture]] | |||
File:X-rays of foot phalanx.jpg|[[Toe fracture]] | |||
</gallery> | |||
==Management & Disposition== | |||
{{Foot and toe fractures}} | |||
==See Also== | ==See Also== | ||
*[[Fractures (Main)]] | *[[Fractures (Main)]] | ||
**[[Distal leg fractures]] | |||
*[[Foot Diagnoses (Main)]] | *[[Foot Diagnoses (Main)]] | ||
*[[Splinting]] | |||
==External Links== | |||
*https://www.aliem.com/emrad-adult-ankle-foot-cant-miss/ | |||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Orthopedics]] | ||
Latest revision as of 21:11, 22 March 2023
Background
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Clinical Features
- History of trauma
- Pain over fracture site
Differential Diagnosis
Foot diagnoses
Acute
- Foot and toe fractures
- Subtalar dislocation
- Metatarsophalangeal joint sprain (turf toe)
- Acute arterial ischemia
- Calcaneal bursitis
Subacute/Chronic
- Diabetic foot infection
- Peripheral artery disease
- Plantar fasciitis
- Trench foot
- Ingrown toenail
- Paronychia
- Tinea pedis
- Morton's neuroma
- Diabetic neuropathy
Evaluation
Workup
- XR foot and/or toe x 2 view
- Consider need for more proximal or distal plain films
- Consider non-contrast CT of the foot
Diagnosis
Management & Disposition
Foot and Toe Fractures Management Chart
| Fracture | Splint | Disposition |
| Talus fracture | Posterior ankle splint | |
| Calcaneus fracture | Posterior ankle splint | |
| Lisfranc injury | Posterior ankle splint | |
| Navicular fracture | Posterior ankle splint | |
| Cuboid fracture | Posterior ankle splint | |
| Cuneiform fracture | Posterior ankle splint | |
| Fifth metatarsal fracture Jones | Posterior ankle splint | Ortho follow up 3-5D |
| Non-fifth metatarsal fracture | Posterior ankle splint | Ortho follow up 2-3 days |
| Toe Fracture | Posterior Ankle Splint |