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Foot and Toe Fractures

Fracture Treatment at Children’s Mercy

Foot fractures


Fractures of the feet can occur in a number of ways, most often from landing from a jump or fall, stepping on an uneven surface or from objects falling onto the foot or toes. The majority of foot fractures do not require surgery and can be protected with either a short-leg walking cast, walking boot or occasionally a hard-soled shoe. Most foot fractures allow weight bearing as soon as your child can tolerate it, but this does vary and your care provider will review specific recommendations. 
 

Example of a foot fracture

Oblique fracture of the right foot. The red arrows show fractures of two of the long bones in the foot (the 4th and 5th metatarsals). An oblique fracture is when the bone is broken at an angle.
Oblique fracture of the right foot. The red arrows show fractures of two of the long bones in the foot (the 4th and 5th metatarsals). An oblique fracture is when the bone is broken at an angle.

Toe fractures


Toe fractures commonly occur when running into an object (such as the leg of a chair or table or the doorframe) or when objects fall onto the toes. If there are significant alignment concerns, the toe may be numbed and reset before treating with buddy taping and a hard-soled shoe.  Occasionally, toe fractures will require surgery, but this is typically only if there is very poor alignment or if there is an open fracture, such as a bleeding fracture near the toenail that requires cleaning and antibiotics in addition to fixing the fracture.

Example of a toe fracture

Front-view (anteroposterior) x-ray of the left foot. The red arrow shows a fracture of the toe bone closest to the main part of the foot (proximal phalanx) of the fifth toe.
Front-view (anteroposterior) x-ray of the left foot. The red arrow shows a fracture of the toe bone closest to the main part of the foot (proximal phalanx) of the fifth toe.