Medical Questions? Ask a Doctor Online!
I had x-rays taken this afternoon. What do you mean by, "You may have a closed but displaced fracture (this means it did not break the skin and that the bone is more than just cracked but still in position >> this would mean that the bone is angulated out of position." (How can it be still in position but angulated out of position?)My pain is not severe; I can walk but my toe is inflamed (not bruised) and when I put on shoes can feel discomfort. With these symptoms, could I have the above or unlikely? And if I had the above what would be the treatment. Thank you.
Could you please interpret this radiology report of an x-ray for diagnosing stubbed right small toe? Is this about as benign as a fracture can be?
I received this on-line today for injury sustained last Thursday. X-rays were taken the next day. My doctor has not added any addtional info to the results. Will ask new question regarding recommendation. Thank you.
PROCEDURE: XR FOOT 3 OR MORE VIEWS RIGHT, 5/3/2013 4:02 PM
CLINICAL INDICATION: patient wanting xray of foot to eval
trauma to 5th toe.
TECHNIQUE: 3 views right foot
Osseous Structures: There is a slightly displaced fracture of the fifth proximal phalanx. The distal fracture fragment is angulated laterally. The fracture does not appear to be intra-articular. No significant degenerative changes. No osseous lesions are visualized.
Soft Tissues: Soft tissue swelling of the fifth toe is present.
No significant tibiotalar joint effusion.
Acute fracture of the fifth proximal phalanx.
Thank you for your prompt and comprehensive responses.
When you state that it is more than a crack what do you mean?
I have been taping with Micropore tape, wrapping it around the base of all my toes. I was told the fracture was in the lower part of the toe. Can you determine that from the radiologist's report. When the nurse wrapped just the small toe and adjacent toe together, it had more pain. For whatever reason, she did not wrap the base of the toe, and told me to do that later. Regardless, should I do the buddy taping, or is entire toe method acceptable? Even when I wrap the entire foot, the more snug the taping the more pain.
I never had acute pain, even when first injured. It was more the location of the two (about 2 o'clock) that had me suspecting a possible fracture.
However, it is now a week, and I still have mild pain. The urgent care doctor recommended I wear shoes to stabilize the toe. I was wearing Adidas County tennis/running shoes (leather not nylon), but he said they were pretty hard and should be sufficient.
I only iced for a day or two, and just taken ibuprofen intermittently the first couple days. I will resume that due to inflammation more than pain; as of Tuesday the toe was still swollen, but it never had any bruising.
Should I ice at this point? I am home due a UTI and am taking Cipro 250mg twice a day.
I set up an appointment with a podiatrist on the earliest date available, Monday afternoon.
Appreciate observations and any further recommendations, including questions to ask the podiatrist.