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Doctor insights on: Proximal Phalanx Fracture Toe

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How much time does it take for calus formation for a fourth proximal phalanx fracture of foot?

How much time does it take for calus formation for a fourth proximal phalanx fracture of foot?

Bone healing: There are many different factors that can help determine the rate at which bone heals. Somethings we can control, whether the fx site is immobilized, swelling is controlled, pt. Smoking hx etc. Others we have less control over such as, age, metabolic condition, or the type of fractue that occured just to na, e a few. It may benefit you to have xrays and see a doctor. ...Read more

Dr. Milroy Samuel
792 Doctors shared insights

Fracture (Definition)

A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more


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I have fourth proximal phalanx fracture of foot which has not been heeled so far even on casting since 21 days. What to do next?

I have fourth proximal phalanx fracture of foot which has not been heeled so far even on casting since 21 days. What to do next?

Wait: No broken bone heals in 3 weeks. Bones will be 75% healed in 6-8 weeks, unless something is slowing healing. I'm glad to hear it was casted. Digital fractures are often undertreated. Rest the foot, limit activity to comfort and it should be fairly solid in another month or so. ...Read more

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I had a displaced fracture of proximal phalanx of fifth toe two weeks ago. I am giving exams however, my foot swells a lot and has turned blue.?

Moving Along.: From your description, your toe is not hurting. Well not as much as it was two weeks ago. The blue coloring can occur from all the collateral damage incurred during the original injury. Normally, this clears up in time. I would think that a displaced toe would still be swollen even after two weeks. Your body is not satisfied that the fracture is stable and is using swelling to help. ...Read more

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Suffered displaced phalanx fracture 4 weeks ago. 5th toe is bluish black, feels detached & spongy. There is dull pain & unable to put last 2 toes down?

Suffered displaced phalanx fracture 4 weeks ago. 5th toe is bluish black, feels detached & spongy. There is dull pain & unable to put last 2 toes down?

Stabilize.: Toe fractures can range from simple, straight forward to those of more severity. The recovery process, as you would expect, will vary depending on the severity and treatment. Your inability to pit your last two toes down, seems to signify that there is still some residual swelling. This is not too unexpected if the toe is unstable. This could best be remedied by taping the last two toes together. ...Read more

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Suffered a displaced phalanx fracture a month ago. Now my doc says my toe is dry gangrene except for a tiny portion at the ventral side. Can I recover?

Suffered a displaced phalanx fracture a month ago. Now my doc says my toe is dry gangrene except for a tiny portion at the ventral side. Can I recover?

Yes without toe: If Dr. Is correct and fractured phalanx has lost blood supply then loss of toe will occur. In an extremity when blood supply is lost a vascular surgeon attempts vessel graft but this requires a large vessel even if graft employed. In the toe no vessel can be re established when lost and gangrene sets in. With wet gangrene surgery needed immediately. Dry gangrene if left will need amputation ...Read more

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How bad is a tiny avulsion fracture at the base of the proximal phalanx laterally 1x2 mm.?

How bad is a tiny avulsion fracture at the base of the proximal phalanx laterally 1x2 mm.?

Which side?: If on the palm side of the finger, it is a volar plate avulsion. These are treated like sprains with early motion - just need to avoid hyper extension. If on the top side, it may represent a tendon rupture - these require splinting and sometimes surgery. ...Read more

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Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case.

Good luck. ...Read more

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I have fracture on the base of proximal phlanax of my great toe 1mmx2mm, how long does it take to heal and do I have to see a orthopedic surgeon?

I have fracture on the base of proximal phlanax of my great toe 1mmx2mm, how long does it take to heal and do I have to see a orthopedic surgeon?

6 weeks: Most fractures of any bone will heal in about 6 weeks. As to whether you need to see an orthopedist, you probably do not. You should tape the broken toe to an adjacent toe ("buddy taping") to splint it, and take tylenol (acetaminophen) or advil for pain. If this is not working you should see an orthopedist, as you may not be healing and can cause a false joint to form. ...Read more

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Incomplete fx of the proximal phalanx of the right great toe w/ a 3mm chip type fx Also slight deviation of 1st metatarsophalangeal joint. Heal time?

Incomplete fx of the proximal phalanx of the right great toe w/ a 3mm chip type fx Also slight deviation of 1st metatarsophalangeal joint. Heal time?

4 to 8 weeks: This can take 4 to 8 weeks depending on whether you use crutches and remain non weight bearing and/or wear an air boot cast too. The deviation of the joint is a concern and may need prolonged splinting to prevent long term joint damage. ...Read more

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I suffered a phalanx fracture a month ago. The skin is hard, black & finger immobile. Doc say its skin gangrene we'd wait & watch. What is it future?

I suffered a phalanx fracture a month ago. The skin is hard, black & finger immobile. Doc say its skin gangrene we'd wait & watch. What is it future?

Need aggressive: Treat meant, to save the finger and spread of infection to the hand, injury may be more extensive than you are describing, speak to your doctor again, or preferably see a hand surgeon. ...Read more

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Over a month after my phalanx fracture my toe is still swollen I'm not able to move it nore put pressure on it will I need surgery to fix it see pic.

Over a month after my phalanx fracture my toe is still swollen I'm not able to move it nore put pressure on it will I need surgery to fix it see pic.

I would advise: Using a surgical shoe to walk with and wrapping he toe to attempt to reduce swelling. Icing is goo as well. Would need copy of xrays to comment further. ...Read more

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Non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx what is non displaced transverse fracture involving proximal diaphysis of the fifth proxmial phalanx and what will happen woith treatment

There: There are three bones in the little ("pinky") toe (some folks only have two), and they are called phalanges (the pleural of "phalanx"). The one closest to the foot is the proximal phalanx, the one closest to the end of the toe is the distal phalanx, and the one in the middle is called.... Well, it's the middle phalanx.

The diaphysis of a long bone (these are all considered "long" bones even though they're not really all that long) is the middle section of the bone.

Transverse means sideways, and fracture means break.

So to translate med-speak to english (google should think of doing something like this), you have a sideways fracture in the bone closest to the foot in your pinky toe in the middle of the bone. Non-displaced means the pieces are lined-up nicely, and there is no need to "reduce" it (put the pieces back in alignment).

So this is really good news for you.... You don't need to have the thing put back in place, and the fracture is in the middle of the bone, so it doesn't cross or involve a joint, which means you're not gonna get arthritis in the toe later on (at least not from this fracture).

Bone takes 6-8 weeks to heal, and since the 5th toe has it's own motion during the gait cycle, you really can't tape a 5th toe to a 4th toe. And there is no need to put a cast on for a toe fracture.

So just keep your walking to a minimum for the next 2 months or so. Now's not the best time to do your christmas shopping... In case you have that planned for this weekend like I do... And you'll probably be more comfortable in a shoe with a stiff sole, because bending the toe with every step is going to cause that little piggy to go wee-wee-wee all the way home.

How'd I do? ...Read more

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I have fracture on my phalanx 1mm of a great toe how long does it take to heal?

I have fracture on my phalanx 1mm of a great toe how long does it take to heal?

Ave 4 - 6 weeks: Bone healing averages 4 to 6 weeks. You should limit your activity and avoid motion in the fractured toe by wearing a rigid surgical shoe. ...Read more

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How long does it take for fracture phalanx toes to heal?

The first 2 stages: Of bone healing take 6-8 weeks, during which time you need to keep your walking to a bare minimum. The last stage takes up to a year, but that should not interfere with your usual activities. ...Read more

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What are some treatment options for great toe fracture at the base of the distal phalanx?

What are some treatment options for great toe fracture at the base of the distal phalanx?

Immobilizatioin: Toe strapping and rigid surgical shoe. On occasion if displaced, it may require surgical reduction. ...Read more

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My son has a chip fracture on his right little finger proximal phalanx. Do it take time to heal? What are the treatment methods?

My son has a chip fracture on his right little finger proximal phalanx. Do it take time to heal? What are the treatment methods?

Avulsion fractures: In the finger can be minor with a small fragment but accompanied by a large soft tissue injury to ligaments and tendons, or can have a large fracture that compromises the stability of the joint, Often treatment, the of splint, splint position, length of splinting depends upon many factors. Best to follow up with a hand surgeon. A splint from the ER should not be final rx! ...Read more

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My son has a chip fracture on the right little finger proximal phalanx. How long do it take to heal and what are the treatment modalities?

My son has a chip fracture on the right little finger proximal phalanx. How long do it take to heal and what are the treatment modalities?

Avulsion fractures: In the finger can be minor with a small fragment but accompanied by a large soft tissue injury to ligaments and tendons, or can have a large fracture that compromises the stability of the joint, Often treatment, the of splint, splint position, length of splinting depends upon many factors. Best to follow up with a hand surgeon. A splint from the ER may be fine at first but have issues (see more) ...Read more

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3 weeks ago, I was diagnosed with a fracture in the form of split in the Phalanx of the BIG toe of my right leg and put a splint. Should I remove it?

No: Don't remove it unless you were told to do so. Did you follow up with a podiatrist? . Ask your doctor or podiatrist to evaluate progress and determine if you still need it. ...Read more

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3 weeks ago, I was diagnosed to have a fracture in a form of split in the middle phalanx of my right leg big toe and put a splint. Should I remove it?

Toe Fracture: If it is a toe fracture (phalynx) and not the big toe or a fracture in the foot then a splint is unnecessary. Tape the effected toe to the one next to it for a week or two and you should be set. ...Read more

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Displaced fracture of 5th phalanx of foot 4 weeks ago The toe is black, dull pain feels heavy, detached & numb. Skin feels blister like with fluid.

Displaced fracture of 5th phalanx of foot 4 weeks ago The toe is black, dull pain feels heavy, detached & numb. Skin feels blister like with fluid.

You should see a dr: When you say black. What color are you?
Is it black like black and blue? Is there a capillary return in the toe? In any event at four weeks this should be more than 50 percent healed. Was the digit relocated at all. Usually, when relocated it snaps back into place immediately and then should be protected from re dislocating..., see a foot doc ...Read more

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Hit the center of proximal phalanx on my right pointer finger. Swollen knot, bruising & painful bending. Bruised or would raised knot mean fracture?

Hit the center of proximal phalanx on my right pointer finger. Swollen knot, bruising & painful bending. Bruised or would raised knot mean fracture?

Fractures can swell: Either locally or diffusely. A knot may mean there is a very bad bruise to skin or it could mean a fracture. A fracture in the finger can be nondislplaced meaning everyting moves well and is lined up so one does not necessarily have a great deformity, joint fractures or fractures in the plane of motion with swelling may not loo obvious except for pain and swelling. If symptoms persist, get seen ...Read more

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I have been told I have a proximal toe fracture in my 4th toe. It is tapped to next toe but it is so painful I can't walk! What can I use for support?

I have been told I have a proximal toe fracture in my 4th toe. It is tapped to next toe but it is so painful I can't walk! What can I use for support?

Postop sandal: Typically toe fractures can be treated with 'buddy taping' and a special sandal until the swelling and pain allow return to close toed shoes. Anti-inflammatories or Acetaminophen can be used for pain if needed. ...Read more

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I have a "undisplaced avulsion fracture base proximal phlaanx L great toe" - what does this mean, what is treatment and how long does it take to heal?

Toe fracture: Undisplaced fracture means there is a fracture but bones are still in close proximity. Avulsion fracture means that muscle has pulled the bone by force and caused fracture. Undisplaced avulsion fracture of toe are treated by buddy strapping usually for 6 weeks. ...Read more

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Is there any way to speed up the healing of fracture of phalanx of foot?

Depends: Generally, no. Closed foot phalanx fractures heal in a relatively predictable manner. There are no proven medications or other measures that will speed this up. However, there are some especially severe fractures and open fractures that will heal faster with surgery. There are also a very small number that will go on to nonunion. Nonunions need investigation and tailored treatment. ...Read more

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Excruciating pain in my foot, displaced fracture of fifth phalanx. Buddy splintage on, 6 tablets of artifen yet no relief?

Excruciating pain in my foot, displaced fracture of fifth phalanx. Buddy splintage on, 6 tablets of artifen yet no relief?

FOOT FRACTURE: The healing from a foot FRACRURE can be very painful. Follow up with orthopedic doctor and request an air cast. Also stronger pain meditation ie ultracet (tramdol and acetaminophen) or Percocet. If pain persists you may need MRI of the foot to define the anatomy and see if surgery is warranted ...Read more

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I have a displaced fracture of phalanx with a buddy bandage! What should I wear in that foot since I cant wear a regular shoe?

Immobile it: If the displaced fracture is able to be reduce and maintained by the buddy splinting, either a surgical shoe or cam walker should be worn until the fracture has healed. If the toe in question is the great toe, possible surgical intervention may be required. ...Read more

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The proximal part of my 4th MT of left foot had a fracture 4 months ago. Today I fell down and got hurt at same spot. Can there be a fracture again?

The proximal part of my 4th MT of left foot had a fracture 4 months ago. Today I fell down and got hurt at same spot. Can there be a fracture again?

Possibly: It is certainly possible. If the pain is fairly mild, you might just rest it and see how it does over the next 2-3 days. If the oain is severe or persists, I would probably be seen for an exam and X-ray. ...Read more

Dr. Jeffrey Wint
2,321 Doctors shared insights

Broken Bone (Definition)

Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more


Toes (Definition)

Toes are the digits at the ends of the feet, most people have 10 and they normally ...Read more