Advertisement Almost two-thirds of all bones in the feet belong to the toes; hence the risk of fracture in this part of the foot is much higher than the rest of the foot. Because it is the longest of the toe bones, it is the most likely to fracture. The image shows a diagram of where these bones lie in the foot—the midpoint of the proximal phalanges being where to the toes branch off from the main body of the foot. However, no fixation, resorbable pins, staples and intramedullary implants have all been described to stiffen the joint and shorten the toe. Specialty. 30 Suddenly catching an extended finger between two opposing solid objects or surfaces may produce a proximal phalangeal fracture. Maffulli, N., Epiphyseal injuries of the proximal phalanx … The proximal phalanx is the phalanx (toe bone) closest to the leg.

Treatment of lesser toe (phalangeal) fractures. Fracture of proximal phalanx of great toe is generally known for a high risk of nonunion.

J Pediatr Orthop, 2001. abductor, interosseous and adductor linked with proximal phalanx may aggravate fracture of the toe bones if these muscles get sudden pull.

Proximal Interphalangeal (PIP) Joint: On the distal end, or head of a proximal phalanx, there is another articular surface for the base of the middle phalanges [1]. There are 3 phalanges (the proximal, middle, and distal phalanx) in most of the fingers and toes.

A middle phalanx is present in each digit foot (or hand) except for the first digit - the big toe of the foot (also the thumb of the hand), which lacks a middle phalanx. Non-displaced fractures A non-displaced fracture is a fracture where the two ends of the bone are still well aligned. Proximal phalanges (foot) are the largest bones in the toe. A "phalanx" in ancient Greece was a military formation composed of heavily armed troops in close deep ranks.

These were also sent from our institution to a larger neighboring institution’s pathology department for verification. Yokoe and Kameyama reported that nonunion was observed in 4 of 10 patients with fracture of a proximal phalanx after nonsurgical treatment.

However, the thumb is an exception, as it doesn’t have a middle phalanx, so the proximal phalanx head directly articulates with the distal phalanx [4] . Management selection. The proximal phalanx is the toe bone that is closest to the metatarsals. In the foot, the bone in the big toe is the first phalange while the pinky toe is the fifth. If the bone is out of place, your toe will appear deformed. Authors of section Authors. Login. Initial management of non- displaced lesser toe fractures includes buddy taping to an adjacent toe, … Fracture was spotted in correlation with patients trauma site and history.