Lesser Toe Fracture-Plain Xray
A Young adult with injury to toe
Teaching points by Dr MGK Murthy.
&Fracture of middle phalanx proximal portion is appreciated only on oblique view and this view is mandatory for toes
&Fracture is of avulsion variety
&Two types of fracture that occur at proximal portion of middle phalanges of lesser toes –one is spiral and other is avulsion
&Flexor and extensor tendons are attached here and joint hyperextension leads to this type of fracture
&Proximal portion of proximal phalanges give attachment to Interossei, Abductors and Adductors
&Stress fractures occur at medial base of proximal phalanges in athletes and are identified only on review radiographs after 2 weeks
&Lesser toes fractures are 4 times more common than great toe
&One must always look for multiple phalanges injury as it is common
Lesser Toe Fracture-Plain Xray
Reviewed by Sumer Sethi
on
Thursday, July 28, 2011
Rating:
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5HrtB_emRQ0MPTlheyuIfp3zSnDg4UJyXMgYgGdgPF2jsyiVRZW1e_j-WhtTMz9CI_M-ghvJdJe-pwCNIs7yrmKDTnVSUvgCkgUHFM5SP5xE-94ERzp1UoM3gZQE0vR5RGrEi/s72-c/lessertoe1.jpg)
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