Diagnosis

Crush injuries of the foot

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 Mechanism of injury
 Imaging
 Clinical signs
Mechanism of injury

High impact injury with axial load or direct crush injury to the forefoot.


This image demonstrates a severely mangled foot from land mine injury.


This image shows a power saw injury to the foot.


This image shows the injury from a motorcycle accident.


Imaging

Conventional radiographs of the foot. AP and lateral oblique views are sufficient for diagnosis and treatment.


Clinical signs

The clinical picture includes swelling, ecchymosis, and pain associated with significant soft tissue injury. Compartments should be monitored for compartment syndrome.