Foot and toe fractures: Difference between revisions
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File:Lisfranc.jpg|[[Lisfranc injury]] | File:Lisfranc.jpg|[[Lisfranc injury]] | ||
File:NavicularFracMark.png|[[Navicular fracture]] | File:NavicularFracMark.png|[[Navicular fracture]] | ||
File:PMC3411541 cmed-5-2012-039f3.png|[[Non-fifth metatarsal fracture]] | |||
File:Talus Fx.png|[[Talus fracture]] | File:Talus Fx.png|[[Talus fracture]] | ||
File:X-rays of foot phalanx.jpg|[[Toe fracture]] | |||
</gallery> | </gallery> | ||
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 |