S92.513

Clinical Causes: Trauma or direct injury, such as dropping a heavy object on the foot Twisting or crushing injuries from accidents Sports injuries involving excessive force or sudden impact Falls or stubs on objects that force the toe beyond its normal range of motion Repetitive stress or overuse can sometimes contribute, especially in athletes

Key Symptoms: Pain at the site of the fracture, often worsening with movement Swelling around the affected toe Bruising or discoloration over the toe Deformity or misalignment of the toe, which may appear crooked or shortened Tenderness to touch Difficulty walking or bearing weight on the affected foot Range of motion may be limited or painful

Diagnosis Path: Diagnosing a displaced fracture of the proximal phalanx generally involves a physical examination where the healthcare provider will assess the toe for deformity, swelling, and tenderness. An X-ray is typically needed to confirm the fracture, determine its displacement degree, and identify any overlapping of bone fragments to guide treatment planning.

Treatment Protocols: Treatment approaches depend on the severity of the fracture, especially whether it’s displaced or stable. Common options include: - **Immobilization**: Using a splint, cast, or buddy taping (taping the injured toe to an adjacent toe) to keep the toe stable during healing. - **Rest and elevation**: To reduce swelling and provide comfort. - **Pain management**: Over-the-counter pain relievers may be recommended. - **Medical intervention**: In cases of significant displacement, surgical procedures such as realignment and fixation with pins or screws may be necessary to restore proper bone positioning. - **Follow-up care**: Regular monitoring with X-rays to ensure proper healing and to prevent complications such as improper healing or deformity.