Injuries to Toes

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Author:
pugsrule915
ID:
239156
Filename:
Injuries to Toes
Updated:
2013-10-06 23:45:32
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Injuries Toes
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Injuries to Toes
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  1. Etiology
    · kicking a non-yielding object
    · pushing joint beyond normal ROM or a twisting motion on the toe disrupting the ligaments and joint capsule

    Signs/Symptoms
    · immediate short lived pain
    · immediate swelling
    · discoloration in 1-2 days
    · stiffness and residual pain last several weeks

    Management
    · RICE, buddy taping (for immobilization)
    · begin weight bearing as tolerable
    Sprained Toes
  2. Etiology
    · injury from sprain of 1st metatarsophalangeal joint
    · Result from single or multiple traumas

    Signs/Symptoms
    · pain and swelling that increases during push off in walking, running, jumping

    Management
    · increase forefoot rigidity
    · taping of toe to reduce dorsiflexion
    · ice and ultrasound
    · rest until pain free
    Great Toe Hyperextension (Turf Toe)
  3. Etiology
    · kicking unyielding object, being stepped on
    · Dislocations less common than fx

    Signs/Symptoms
    · immediate intense pain
    · deformity w/ dislocation

    Management
    · dislocation reduced by physican
    · possible casting w/ great toe or multiple toe fx
    · *** buddy taping usually sufficent
    Fractures and Dislocations of the Phalanges
  4. Etiology
    · bone spurs on dorsal aspect of 1st metatarsophalangeal joint resulting in impingement and loss of active and passive dorsiflexion
    · Degenerative arthritis of articular cartilage and synovitis
    · if restricted, compensation of lateral foot rolling

    Signs/Symptoms
    · forced dorsiflexion cause pain
    · weight bear on lateral aspect

    Management
    · stiffer shoe w/ large toe box
    · orthodics similar to turf toe
    · NSAIDs
    · osteotomy to remove obstructions for normal function
    Hallux Rigidus
  5. Etiology
    · Hammer toe- flexible deformity that becomes fixed due to flexion contracture in PIP joint
    · Mallet toe- flexion contracture of DIP joint- can be fixed
    · Claw toe- flexion contacture of DIP and hyper extension of MP joint
    · often caused by wearing short shoes

    Signs/Symptoms
    · PIP, DIP, and MP joint become fixed
    · Swelling, pain, callus formation and occasional infection

    Management
    · shoes w/ more room
    · padding and taping to prevent irritation
    · shave calluses
    · after fixed, surgery required
    Hammer toe, Mallet toe, Claw toe
  6. Etiology
    · congenital or bc of narrow shoes

    Signs/Symptoms
    · outward projection of great toe articulation or drop in longitudinal arch

    Management
    · for hammer toe- surgery necessary
    ·  whirlpool for inflammation
    ·  taping prevents contractual tension
    Overlapping Toes
  7. Etiology
    · direct pressure, dropping or kicking an object
    · repetitive force on toenail

    Signs/Symptoms
    · Accumulation of blood
    · ext
    reme pain and ultimate loss of nail

    Management
    · RICE immediately to reduce pain/swelling
    · relieve pressure in 12-24 hrs w/ drill nail
    Subungual Hematoma

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