Phalangeal fractures
Common fracture in foot.
Usually spiral-oblique fracture
Interosseus, abductor, adductor and flexor muscles attach to base of proximal phalanx may cause displacement.
Treatment:
Immobilisation – felt and splintage to adjacent toes; silicone orthodigital device can be used to maintain immobilisation and alignment
Use a surgical/cast shoe
If displaced closed reduction under local anaesthesia – maybe use Kirschner wire fixation
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