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Development of an Effective Treatment Algorithm for the Stubbed Great Toe
Taylor A Harris1, Jacqueline Krumrey2, Jennifer Sharp1
1Orthopedics, Good Samaritan Regional Medical Center, Corvallis, USA.
Cureus
|September 20, 2021
Summary
Stubbing the great toe can cause open fractures in children, potentially leading to serious complications. Prompt recognition and appropriate management are crucial for preventing long-term issues like osteomyelitis.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
Background:
- Toe fractures are common in children, but most are minor.
- Open fractures of the great toe require specific attention to avoid complications.
Observation:
- A case involving a pediatric patient with a stubbed great toe injury.
- Delayed recognition of an open distal phalanx fracture (Salter-Harris I) was noted.
Findings:
- The patient required open reduction and Kirschner wire (K-wire) stabilization due to failed closed reduction.
- Vigilance in evaluating stubbed great toe injuries is essential.
Implications:
- Unrecognized open fractures can lead to osteomyelitis and growth disturbances.
- A management algorithm for stubbed great toe injuries is proposed.
- Highlights the importance of early and accurate diagnosis in pediatric foot trauma.
