Broken Toe (graphic picture)

 Apologies for the low quality picture, I'm not too photo-editing savvy. Above left is at presentation, the big toenail is loose and xrays showed the tip on the bones were broken into many little pieces. The right is him all cleaned up, my favorite thing to do...cleaning!

Apologies for the low quality picture, I'm not too photo-editing savvy. Above left is at presentation, the big toenail is loose and xrays showed the tip on the bones were broken into many little pieces. The right is him all cleaned up, my favorite thing to do...cleaning!

I have a nice surprise for you after a mini-hiatus from blogging. I've completed my move from Michigan to California after coming back from an amazing trip to Japan to celebrate a new chapter of this wonderful adventure we call life. I will be starting my new practice next Monday. More info to follow. But the real surprise is this broken big toe (graphic picture warning) that presented as a bloody mess. It happened as this young patient was moving large furniture around the house and a giant mirror fell on his foot while he was barefoot. Oh boy I feel his pain! (Ever stub your toe on furniture? Multiply that by a thousand.)

Often times broken toes do not need surgery but when it is this extensive with a loose nail and blood everywhere, this qualifies it as a contaminated/dirty open fracture and requires surgery to further inspect it under anesthesia and a thorough wash out. The patient did well and healed as expected.

What the patient can expect about the toenail is the following:

- the nail may never grow back but the skin will heal

- the nail may grow back partially or fully abnormal (grows back loose, irregular, thickened, etc)

- or the nail may grow back normally

Only time will tell but he is expected to return to normal activities once healed.