![]() ![]() Pain that could be described as throbbing.A sound like a snap or pop at the time of the incident.Some other things to look out for to determine whether you are dealing with a broken toe include: The pain from a broken toe has more longevity. You may notice the pain beginning to dissipate within a few days. Walking, standing, and other uses of your toe will be difficult with both injuries.Ī sprain is likely to heal faster. A break will also cause swelling, bruising, and tenderness, and you may or may not be able to put weight on your toe with both a break and a sprain. It may be very difficult to move your toe.ĭepending on the grade of the sprain, it can be very difficult to differentiate between a sprain and a break. A grade 3 toe injury is very painful and will cause significant swelling and bruising. Grade 3: the highest level characterized by a complete tear of the ligament.Grade 2: a more moderate injury characterized by more severe swelling as well as bruising and less range of motion in the affected toe.Grade 1: a fairly minor injury You will notice some tenderness and swelling in the affected area.There are three categories, or grades, that medical experts place sprains into. ![]() A sprain may be signaled by pain in the toe (especially when walking), difficulty moving the toe, swelling, bruising, and tenderness. In the smaller toes, there are three joints each, while the big toe has two joints. Sprain SymptomsĪ sprain happens along any of the joints in the foot. However, there are a few telltale ways to determine whether your injury is a sprain or a break. A painful sprain may feel so intense that you wonder whether you broke it. This is part of what confuses so many when attempting to self-diagnose. The initial pain of a toe injury, regardless of its nature, is a pretty shocking experience. Avulsion fracture: A chip in the bone, usually caused by irritation from the tendon being pulled off the bone.Closed: The broken bone is contained within the skin.Open: The broken bone protrudes and breaks the skin.Displaced: The bone breaks or cracks, and the ends separate from one another, either completely or partially.Non-displaced: When the bone breaks or cracks but does not separate, it is a non-displaced fracture.Stress fracture: This kind of break is caused by repetition, overuse, or undue stress.Kinds of Broken Toesįractures are categorized depending on the way the toe breaks. Because the phalanges are so small, it can be difficult to detect a fracture. Your phalanges are connected to your metatarsal bones. Damage to the ligaments makes it difficult for your joints to move freely without pain.Ī broken toe is caused by fractures in any of the toe bones, also known as phalanges. A sprained toe is caused by damage to the ligaments surrounding your joints. Their job is to connect the bones of your toes to your joints. Ligaments are the connective tissues surrounding the bones in your toes. The human foot consists of 26 bones and over 30 ligaments. Whatever the reason, toe pain is no fun – and it can be hard to determine the seriousness of the injury. Broken and sprained toes are frequently caused by car accident injuries. Parents in the middle of multi-tasking may walk into a wall and stub their toe. They also found progressive intra-articular displacement both preoperatively and postoperatively and recommend close radiographic follow-up of these fractures.Toe injuries are extremely common, regardless of age, gender, or any other status. J Pediatr Orthop 34:144–149, 2014) found most patients required open reduction through a dorsal approach to the MTP joint and often found a periosteal flap of tissue in the physis which prevented a successful closed reduction. Another case series with ten patients published in 2014 (Kramer et al. A case series with four gymnasts with Salter-Harris (SH) III and IV injuries that all underwent open reduction and pin fixation with good outcomes has also been described (Perugia et al. Most of these fractures are Salter-Harris III or IV injuries. Reduction is recommended if the great toe proximal phalanx joint surface is displaced more than 2–3 mm or 25% of the joint surface is involved. Displaced intra-articular fractures in older children can be treated often with closed reduction, open reduction if needed, and percutaneous pin or screw stabilization for 4–6 weeks. A case series of hallux fractures found that soccer was the most common mechanism and 86% of children were treated non-operatively (Petnehazy et al. A common treatment regimen is weight-bearing as tolerated often in a stiff-soled shoe until the patient is comfortable ambulating in their regular shoes. Treatment of most of these injuries is non-operative with symptomatic treatment. Phalanx fractures of the toes are fairly rare injuries in children. ![]()
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