Khouri fracture distal phalanx right great toe

Hi Doc,

During a soccer match i got injured on my right great toe. It has since been 8 month since my injury even though I was told it would take 6 – 8 weeks to recover on it’s own, so i went back to my family doctor to inform him it still didn’t fully heal so he went ahead refereed me to specialist which I got more Xray done and this was there findings below. Since i didn’t get a change to talk with the specialist with the findings after they took the Xray I was wondering if you can help me understand what’s this all means?

“indication Khouri fracture distal phalanx right great toe. There is a suggestion of an old healed fracture involving the medial aspect the base of the distal phalanx of the great toe. No acute fracture line is seen. Articular margin are congruent. Degenerative arthritis seen in the first the metatarsal phalangeal joint. Normal first metatarsal phalangeal angle. Mild hammertoe deformities i seen in the second to the fifth the toes. No other significant abnormality demonstrated.”

Thanks for you looking to this.

5 Responses

  1. Foot-com

    Hello. I would get the injection now and not be too wrapped up in the discoloration in the toe. Sometimes when there is injury or inflammation in an area the skin can change color and never fully return to normal. To get the steroid injection I would see a Podiatrist. This can easily be done in an office setting. Good luck.

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    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

  2. Foot-com

    I will look into getting the injection who would normally do this specialist or any hospital? Another question is i still feel pain in my toe and i know it’s not fully healed as there is still discoloring on the toe area when i compare it to my other toe. Is still safe to go with the steroid or should i be fully healed with no pain and look to getting the injection or should i follow other procedure in trying to get my toe fully healed. I am starting to worry as it’s been 8 month now.

  3. Foot-com

    Hello and thank you for the follow up. No I would not go into an aircast for your toe at this state. If you do so you will be creating even more weakness in the other areas of the foot. I would suggest getting the injection and allow the steroid to decreasing any remaining inflammation that may be in the joint.

    Good luck!

    ==============
    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

  4. Foot-com

    Yes this helps a lot, thanks a lot. No i hadn’t gotten any injection to the toe. What I am noticing is that I still have pain in my toe and the color around the toe comparing to my other toe is somewhat is discolored but I feel like it’s slowly changing to it’s normal color but there is still a noticeable discoloring around my toe. As far as bending my toe I can’t flex it up and down freely as it still feels stiff. Would you recommend I get the toe injection in my current state or maybe try to wear a protective shoes like air cast till i fully heal and get the injection once i can move my toe around freely without stiffness.

  5. Foot-com

    Hello and thank you for the question. I have never heard of a “Khouri fracture” and think that it is an error in dictation. Based on the rest of the x-ray report stating that the fracture is healed with congruent margins, I’d say that your pain is residual inflammation from the fracture.

    If you have not had any injections to the toe joint it may be worth considering as sometimes we can get long standing inflammation around old fractures. All of this can be discussed with you Podiatrist.

    I hope this helps!

    ==============
    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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