PDF(Pubmed)
Abstract：
UNASSIGNED: Toe symphalangism is characterized by a fusion of the interphalangeal joint between the middle and distal phalanges. While typical lesser toe fractures heal well with conservative treatment, in our clinical experience, we encountered patients with symphalangeal toe fractures who experienced long-lasting pain and delayed radiographic union. Therefore, this study aimed to report radiographic outcomes following conservative treatment of symphalangeal fractures of the lesser toes.
UNASSIGNED: We retrospectively reviewed 14 patients with symphalangeal lesser toe fractures who were treated conservatively. We investigated the mechanism of injury and measured the time from the initial injury date to the complete radiographic union. The fracture gap distance was measured on an initial lateral radiograph.
UNASSIGNED: Symphalangeal fractures involved the fourth toe in 4 patients (28.5%) and the fifth toe in 10 patients (71.4%). Regarding the mechanism of injury, 6 patients (42.9%) were injured by stubbing or bumping into the door, 5 patients (35.7%) were injured by tripping, 2 patients (14.3%) were injured by heavy objects falling directly on their toes, and 1 patient (2.3%) complained of pain after wearing pointed shoes for half a day. The mean time to complete union was 9.1 months, and the median period was 5.5 months (range, 0.8-29 months). The initial gap of the fracture was 0.60 mm (range, 0.30-1.04 mm).
UNASSIGNED: The results of our case series may help counsel patients in the outpatient clinic that prolonged healing time may be required for the union of symphalangeal toe fractures.
UNASSIGNED: We retrospectively reviewed 14 patients with symphalangeal lesser toe fractures who were treated conservatively. We investigated the mechanism of injury and measured the time from the initial injury date to the complete radiographic union. The fracture gap distance was measured on an initial lateral radiograph.
UNASSIGNED: Symphalangeal fractures involved the fourth toe in 4 patients (28.5%) and the fifth toe in 10 patients (71.4%). Regarding the mechanism of injury, 6 patients (42.9%) were injured by stubbing or bumping into the door, 5 patients (35.7%) were injured by tripping, 2 patients (14.3%) were injured by heavy objects falling directly on their toes, and 1 patient (2.3%) complained of pain after wearing pointed shoes for half a day. The mean time to complete union was 9.1 months, and the median period was 5.5 months (range, 0.8-29 months). The initial gap of the fracture was 0.60 mm (range, 0.30-1.04 mm).
UNASSIGNED: The results of our case series may help counsel patients in the outpatient clinic that prolonged healing time may be required for the union of symphalangeal toe fractures.
摘要：
■脚趾共生的特征是中部和远端指骨之间的指间关节融合。虽然典型的小脚趾骨折在保守治疗下愈合良好，根据我们的临床经验，我们遇到了有指趾骨折的患者，这些患者经历了长期的疼痛和延迟的影像学愈合。因此,本研究旨在报告保守治疗小脚趾的肩关节骨折后的影像学结果.
■我们回顾性分析了14例经保守治疗的指骨小趾骨折患者。我们调查了损伤的机制，并测量了从最初的损伤日期到完全的影像学结合的时间。在初始横向射线照片上测量断裂间隙距离。
■4例患者（28.5％）涉及第四趾，10例患者（71.4％）涉及第五趾。关于损伤的机制，6名患者(42.9%)因撞门或撞门而受伤,5例(35.7%)因绊倒受伤,2名患者(14.3%)因重物直接落在脚趾上而受伤,1名患者(2.3%)在穿尖头鞋半天后抱怨疼痛。完成工会的平均时间是9.1个月，中位数为5.5个月(范围，0.8-29个月）。断裂的初始间隙为0.60mm（范围，0.30-1.04毫米)。
■我们的病例系列的结果可能有助于向门诊的患者提供建议，即指趾骨折的愈合可能需要延长的愈合时间。
■我们回顾性分析了14例经保守治疗的指骨小趾骨折患者。我们调查了损伤的机制，并测量了从最初的损伤日期到完全的影像学结合的时间。在初始横向射线照片上测量断裂间隙距离。
■4例患者（28.5％）涉及第四趾，10例患者（71.4％）涉及第五趾。关于损伤的机制，6名患者(42.9%)因撞门或撞门而受伤,5例(35.7%)因绊倒受伤,2名患者(14.3%)因重物直接落在脚趾上而受伤,1名患者(2.3%)在穿尖头鞋半天后抱怨疼痛。完成工会的平均时间是9.1个月，中位数为5.5个月(范围，0.8-29个月）。断裂的初始间隙为0.60mm（范围，0.30-1.04毫米)。
■我们的病例系列的结果可能有助于向门诊的患者提供建议，即指趾骨折的愈合可能需要延长的愈合时间。
