Intended for healthcare professionals

Endgames Spot Diagnosis

Post-traumatic toe deformity in a child

BMJ 2019; 365 doi: (Published 27 June 2019) Cite this as: BMJ 2019;365:l2224
  1. Tun Hing Lui, consultant, orthopaedics
  1. Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China
  1. Correspondence to T-H Lui luithderek{at}

A 5 year old boy experienced pain in the little toe of his right foot after falling down the last two steps of a flight of stairs.

Initially the diagnosis was a “sprained toe.” No radiograph was taken at that time.

Five days later he was referred to orthopaedics because the pain was persisting. On examination, the toe was tender and swollen with subtle lateral deviation, but circulation and sensation were intact. Radiography was …

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