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9.29 Broken Toe


The patient has stubbed, hyperflexed, hyperextended, hyperabducted, or dropped a weight upon a toe. He presents with pain swelling, ecchymosis, decreased range of motion and point tendeness, and there may or may not be any deformity.

What to do:

What not to do:


If there is no toe fracture, the treatment is the same, but the pain, swelling, and ability to walk may improve in 3 days rather than 1-2 weeks. Although patients still come to the ED asking whether the toe is broken, they can usually be handled adequately over the telephone and seen the next day.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
Jon Handler, MD
Michael Gillam, MD