Symptoms of toe fracture

Written by Wang Cheng Lin
Orthopedics
Updated on January 11, 2025
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The symptoms of a toe fracture primarily include pain, swelling, and limited mobility. If there is a noticeable displacement of the fracture ends, a typical deformity can also occur. For the treatment of toe fractures, conservative treatment such as casting or using a brace may be sufficient if it is a simple linear fracture without significant misalignment of the fracture ends. However, if there is substantial shortening, rotation, separation, or if the fracture is comminuted, surgical treatment is required. During surgery, the fracture ends are repositioned through an incision. After repositioning, a Kirschner wire is used to internally fixate the fracture ends, allowing the bone to heal in the proper alignment without leaving any deformity. This describes the surgical treatment method.

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What does a fracture feel like?

The feeling of a fracture, first and foremost, the most important clinical manifestation is pain. Of course, the intensity of the pain is related to the type of fracture. Generally, incomplete fractures or greenstick fractures are not as painful, but if the fracture is displaced, comminuted, or other types, the pain is more pronounced. The second manifestation is swelling; the area of the fracture will show obvious swelling and become quite enlarged. The third is tenderness, which means that touching or pressing on the area will result in noticeable pain. Fourth, there is a significant restriction of movement in the joints adjacent to the fracture site.

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How to exercise for fracture recovery

After the fracture heals, rehabilitation exercises can reduce pain and shorten the healing time of the fracture. The main rehabilitation training methods include physiotherapy such as hot compresses, massage of the fracture site, acupuncture, electrotherapy, and exercises like muscle training of the fracture site, isometric contraction, isotonic contraction, etc. Once the fracture reaches relative stability, further activities like getting out of bed and non-weight bearing exercises at the fracture site can also help accelerate the healing time.

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Symptoms of fractures

Patients with fractures typically exhibit marked pain symptoms locally, accompanied by local swelling and limited movement. Some patients may also present with fever as a clinical symptom. There might be clear signs of bone crepitus and a sensation of bone rubbing on palpation. In severe cases, deformities or abnormal movement may occur, which are common clinical symptoms of fractures. For the diagnosis of fractures, it is necessary to actively take a regular X-ray. For some occult fractures, it is essential to conduct a CT scan and three-dimensional reconstructive CT to confirm the diagnosis.

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Bone fracture, hot compress or cold compress?

A fracture refers to the disruption of the integrity and continuity of the bone, leading to symptoms such as localized pain, swelling, and restricted movement. In the early stages of the injury, there may be bleeding, swelling, and pain. It is recommended to apply cold compresses to alleviate these symptoms. After the acute phase, choosing the appropriate treatment method, such as external fixation or internal fixation, is advisable. Once the condition has stabilized, applying heat may be beneficial to promote blood circulation around the tissues and aid in the recovery from the injury. Therefore, in the early stages of a fracture, it is important to primarily use cold compresses.

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Post-fracture sequelae

After a fracture, the potential sequelae depend on the location of the fracture and the chosen treatment method. For example, fractures involving joint surfaces can lead to traumatic arthritis after treatment. Similarly, femur fractures can lead to the formation of lower limb thrombosis after surgery and the fracture itself. Some fractures near joints might also affect the range of joint motion after treatment. Therefore, the type of sequelae after treating a fracture depends on both the location of the fracture and the treatment approach chosen.