Foot and toe fractures
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 |