Update: December 2018
Fracture of the bones of the toes of the foot – violation of the integrity of the bone
tissue. Tactics of treatment depends on what kind of finger is broken.
The usual injury mechanism for such damage is a direct blow or
How to determine the injury or fracture?
A bruise and fracture is not always easy to distinguish without an x-ray. Insofar as
for both types of injury, swelling of the finger is determined, which can
go on foot. Hematoma may occur, which externally
looks like an ordinary bruise. Both types of damage
accompanied by pain, redness, local elevation
temperature Injury may be accompanied by damage to the nail.
plate, its margin.
The following will help to distinguish a toe fracture from a bruise.
- with bruised pain even,
- if the finger is broken, then the pain increases with axial
load (pressing the finger along the bone) or pulling
corresponding finger of the foot;
- at the fracture of the bones of the phalanges of the finger are determined by signs
characteristic of any violation of the integrity of the bone (pathological
mobility, crepitus of fragments, shortening of the finger).
Usually, it is enough to detect a fracture.
pain with axial load. Definition of pathological mobility
crepitations are not performed, since checking these symptoms may
lead to additional tissue trauma, increased bias
The absolute sign of a fracture is the presence of a crunch,
arising from attempts to move the finger during palpation.
At the turn of the main phalanx, the symptoms are more pronounced, especially
big toe. Sometimes fractures are not noticed and
perceived as injured by a finger bruise, so he is late
turns to the traumatologist.
Types of fractures of the bones of the foot:
- I, II, III, IV, V fingers;
- the main, middle, nail phalanges;
- diaphysis damage, marginal fracture, epiphyseolysis.
According to the presence or absence of wounds:
- open (with violation of the integrity of the skin);
- closed (without such a violation).
By the presence of an offset:
- with offset;
- without offset.
Along the line of fracture:
In identifying the clinical symptoms of phalanx fracture on
leg with a typical mechanism of injury, the patient is sent to
x-ray. With this study you can confirm or
to disprove the violation of the integrity of the bone. This study
it is enough and there is no need for expensive
types of examinations, such as MRI or CT.
Features in childhood
In children, the bones of the fingers often break along the growth zone, i.e. usually
there is a detachment of the epiphysis of the phalanges of the fingers (epiphyseolysis). Pain
localized in the bend of the fingers. To treat a finger fracture
the child’s feet are covered with a plaster or an adhesive bandage.
What first aid is needed if the bone is broken? Should give
painkillers from the discharge of NSAIDs (analgin,
ibuprofen, niz, ketorol, diclofenac, movalis, naproxen,
Leg is better to give a sublime position (the simplest way –
put your foot on a pillow or place a small one under your heel
As immobilization in cases of suspected large fracture (I)
fingers can use improvised means for example
pribintovat to the sole of the foot slippers or a wide range.
If you suspect a broken II-V fingers impose
an adhesive bandage bandage – fix (fix) a broken finger to
a healthy few rounds of plaster. Enough for that
overlay 3-4 rounds.
To reduce swelling and pain, a bubble may be applied to the foot.
with ice. This procedure is performed several times for 15-20 minutes.
The victim must be delivered as soon as possible.
trauma point to establish the correct diagnosis. it
You can do this with the help of personal transport or SSP (ambulance
First aid at the emergency room
Пострадавшему проводят осмотр, x-ray. What to do, if
Are the bones of the fingers still broken? At the turn of the finger without displacement
impose a cast from the tips of the fingers to the lower third of the leg on the whole
foot width, with the formation of the arch of the foot. If necessary
disability certificate is issued to the patient and a date is assigned
the next turnout.
You need to walk in a cast on crutches without leaning on your leg. Can
lightly step on the heel, there should be no support for the fingers.
In the first days after the trauma, the patient has pains and swelling in the foot.
In order to reduce the pain prescribe drugs from the group of NSAIDs.
(see all painkillers). It is recommended to drink a day
painkillers no more than 3 times.
They should be taken after meals, as they irritate the mucous
shell of the digestive system and with prolonged use may result
to gastritis, peptic ulcer. It is better to drink these drugs under the protection of
omeprazole (Omez, Orthanol, Ultop, Losek map, Gastrozol), and
Emanera, Nexium and others.
If pain can to move without taking medicine – nothing is better
not to accept. Usually by the end of the first week the intensity of the pain
To relieve swelling of the foot, it is recommended to lie with your foot
slightly raised. To this end, the foot is placed on the pillow. For
eliminate the pain and swelling put an ice pack on 15
After уменьшения отека (usually через 5-10 дней) гипсовая лонгета
It becomes more free, “dangles” on the foot. For лучшего
fit you need to tie a bandage on top, without removing the old
How many heals fracture
How long should I wear a gypsum with a broken toe?
Immobilization, i.e. wearing plaster splint time:
- at the turn of the big (I) toe is 3 weeks
- at damage of II-V fingers – 2 weeks
Why are the terms of walking in gypsum so different? Phalanx large
finger serves as a supporting function when walking, it falls big
load. Therefore, the immobilization time for damage to large
finger more than the rest. How much to walk in a cast after a fracture
depends on his character. With bias, multiple
повреждениях сроки иммобилизации увеличиваются в среднем на 1
When a cast, when a bandage
For fractures III – V fingers without displacement, you can replace the plaster
Adhesive bandage. This immobilization is quite enough
since the middle (III), ring finger (IV) and little finger do not perform
опорной функции при ходьбе. Wearing time
The adhesive bandage is 2 weeks. it время, за которое
A patient comes to a doctor’s appointment in a cast or a plaster.
bandage. After removal of the gypsum, the traumatologist – orthopedist directs
patient on images to see whether fragments have grown together or not.
Why badly grows together
With normal accretion at the fracture site can be seen forming
callus. The fracture line can still be traced, but it
becomes barely noticeable in the picture. Bad accretion can
- with osteoporosis,
- insufficient amount of calcium in the body,
- total exhaustion,
- the presence of chronic diseases.
What drugs to take
For лучшего заживления рекомендуется принимать витамины с
Minerals Containing Ca and Vitamin D3:
- Calcium D3 Nicomed – 50 pcs. 280 rub
- Complust with a high content of calcium – 100 pcs. 300
- Calcium Medium and Vitamin D – 60 Table. 120 rub.
- TOолаген ультра+ кальций д3 — 30 пакетиков 800 rub.
- Mountain Calcium D3 – 80 pcs. 230 rub
- Kalcemin – 30 pcs. 320 rub.
With the same purpose, the patient is prescribed calcium electrophoresis.
The people strongly reinforced the view that for a better accretion
fragments need to drink mummy. it заблуждение. Scientific research,
conducted on this occasion, showed that the mummy contributes
bone resorption, osteoporosis. Therefore, his reception
not only does not have practical benefits, but is harmful.
After removing the plaster
After removing the plaster проводят разработку голеностопного сустава и
fingers, since due to prolonged immobilization their
stiffness. Pain after a fracture may persist
time, especially they increase when walking, changing weather. Total term
disability for fractures of the toes of the foot is about 1
of the month.
At the doctor’s visit, if you do not need a sick leave, come
immediately after injury for the application of gypsum. Then if there are no special
complaints, you can come to remove the plaster and conduct a control
On the same day, the patient is prescribed:
- Exercise therapy – physical therapy
- physiotherapy – magnetic therapy, calcium electrophoresis,
Therapeutic exercise includes the following exercises:
- straighten your legs, pull your foot away from you, then towards yourself;
- flexion / extension of the toes;
- fan-shaped dilution / pinching fingers;
- circular movements in the ankle joints.
If there was an offset
Basically, fracture treatment is carried out conservatively. TO
surgical treatment is rarely resorted to. it случается при
открытых переломах со значительным смещением fragments. In that
If intervention is performed under local anesthesia (region
injuries are cut off with novocaine, lidocaine). Conduct mapping
fragments with a thick needle or knitting needle. Then impose
Immobilization in this case is carried out within 3-4 weeks. After
gypsum removers develop ankle joint. After консолидации
fragments remove the needle. Further rehabilitation is carried out according to the same
principles as with conservative therapy.
If it has grown together with an offset
If the accretion (consolidation) fracture occurred with a small
offset – do not be discouraged. The fact is that callus
undergoing restructuring and change during the year. During this time
there is its smoothing and compaction, so even if right now on
There is a slight shift in the pictures, it will not cause a violation
Whats in the future
In the subsequent injured leg may be felt. AT
fracture areas may be aching pains. Such symptoms may
occur during intensive walking, changing meteorological conditions
(before rain, blizzard, wind).