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Evaluating the Function of the Foot Core System in the Elderly
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Empty toe phenomenon: a big problem for a little toe.

Andrew A Tarleton1, Katherine C Faust, John A Davis

  • 1Department of Orthopaedic Surgery, Tulane University, New Orleans, LA, USA, atarleto@tulane.edu.

Skeletal Radiology
|August 3, 2013
PubMed
Summary
This summary is machine-generated.

This case report details a rare "empty toe phenomenon," a closed degloving toe injury without skin laceration. This unusual presentation highlights the importance of thorough examination after foot trauma.

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Area of Science:

  • Traumatology
  • Orthopedic Surgery
  • Radiology

Background:

  • Closed degloving injuries are rare, particularly in the foot and toe.
  • The
  • empty toe phenomenon
  • describes a specific presentation of degloving without external skin breach.

Observation:

  • A 25-year-old male motorcyclist sustained a twisting injury to his left foot.
  • Physical examination revealed intact skin but a palpable absence of bony contents within the toe.
  • This clinical finding is consistent with a closed degloving injury.

Findings:

  • The case report documents a rare instance of closed degloving injury to the toe.
  • Literature review indicates this phenomenon is infrequently reported, emphasizing its rarity.
  • Radiological correlation is crucial for diagnosing the extent of soft tissue and bony displacement.

Implications:

  • This case underscores the need for high clinical suspicion in evaluating foot trauma, even with seemingly intact skin.
  • Prompt diagnosis and appropriate management are essential to prevent long-term morbidity.
  • Further research into the biomechanics and optimal treatment strategies for this rare injury is warranted.