Executive Editor: Joseph Schatzker

Authors: Michael Castro, Rick Buckley, Andrew Sands

Phalanges , 3rd - 5th Row

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1 Indication for nonoperative treatment top

If it is a closed injury and there is no serious displacement,  the toe is best treated by strapping it to the adjacent uninjured toe (buddy taping).

Surgical stabilization is necessary when the fractures are open or grossly displaced.

2 Reduction top


If a toe is dislocated, it is reduced by exaggerating the deformity and then applying traction and reversing the mechanism of injury.

3 Treatment top


Alignment can be maintained by buddy taping. The skin is cleaned with alcohol to remove oils and 5-10 mm wide straps are fixed in a loop around the toes. Gauze may be placed between the toes to avoid maceration of the skin.
The MTP joint must be immobilized in an anatomical position to avoid a dorsiflexion contracture.

v1.0 2012-06-04