Pain in the foot when the toes are extended and flexed

Introduction Foot scaphoid fracture symptoms The foot pain is obvious when the toe is flexed and flexed. The scaphoid in front of the calcaneus is engaged with the talus, which is named after the shape of a boat. The middle ankle joint, which is composed of the foot scaphoid, the wedge bone and the tibia, is also called the transverse joint, which is easy to cause dislocation due to trauma. Although the above-mentioned simple bone fractures are not frequent, they are not uncommon. About 0.3% of all body fractures should still be noticed. In addition to direct fractures that can cause fractures, indirect conductive violence can also cause damage to the scaphoid.

Cause

(1) Causes of the disease

Direct violence, indirect violence, and muscle-stretching violence can cause injuries.

(two) pathogenesis

The scaphoid in front of the calcaneus is engaged with the talus, which is named after the shape of a boat. It transmits the force from the talus to the three wedge bones in front. In addition to the direct impact of the violence, the indirect conduction of violence can also cause damage to the scaphoid. The violent contraction of the posterior tibial muscle causes an avulsion fracture inside.

an examination

Related inspection

General film inspection forefoot extrusion test

1. Pain and swelling: The pain of the foot is obvious when the toe is flexed and flexed. Because the muscle tissue of the part is less covered, local swelling and soft tissue congestion are more obvious.

2. Axial pain: When the 1-3 bones are pushed longitudinally, the middle jaw is severely painful.

3. dysfunction: foot movement disorder, weight can not.

According to the different parts of the fracture, it is generally divided into the following three types:

1 scaphoid fractures: mostly due to direct violence or crushing stress, different types of fracture types can occur in different strengths and directions of action; including cracks, compression, crushing or openness.

2 scaphoid nodule fracture: caused by sudden contraction of the posterior tibial muscle, the fracture line is dentate, showing the trabecular bone fracture sign.

3 The avulsion fracture of the dorsal rim of the scaphoid is caused by the avulsion of the scaphoid joint capsule due to the strong knee flexion of the foot. Generally, the bone piece is small and the displacement is not large.

Second:

1. History of trauma.

2. The clinical features are mainly swelling of the back of the foot, pain and 1 to 3 tibia axial thrust when causing severe pain in the middle joint.

3. Imaging examination generally does not require CT, MRI and other examinations, but only need regular X-ray film to confirm the diagnosis, there is a need for X-ray oblique film.

Differential diagnosis

Toe pain: Gouty toe pain occurs mostly in middle-aged men, often acute onset, with toe, spasm and other joints redness and heat pain. There is no aura before acute onset of gouty arthritis, mild trauma, overeating sorghum food or excessive drinking, surgery, fatigue, emotional stress, medical emergency (such as infection of blood vessel obstruction), can induce acute gout attacks. Acute single or multiple joint pain often occurring at night is usually the first symptom of pain, progressive exacerbation is severe pain, signs similar to acute infection, swelling, local fever, redness and obvious tenderness, local skin tension, fever and luster, appearance Dark red or purple. The metatarsophalangeal joint of the big toe involves the most common (foot gout) arch of the ankle, the wrist joint of the knee and the elbow joint are also common sites. Systemic manifestations include fever, chills, discomfort, and leukocytosis.

Hemorrhoids and dull pain in the fingers (toes) and calves: the appearance of impotence and pain in the fingers (toes) and calves is one of the clinical symptoms of Caschin-Beck disease. Kaschin-Beck disease, Kaschin-Beck disease, is a kind of endemic cartilage and joint deformity disease, which is a deformed osteoarthrosis with cartilage necrosis.

Toe flexion contracture: trauma to the foot due to flexion and contracture of the toes, such as soft tissue contusion, calcaneus and tibiofibular fractures can cause intrinsic ischemic necrosis of the foot, followed by a unique toe deformity. Trauma that causes severe swelling of the foot, such as soft tissue contusion, calcaneus and tibial fractures, can cause intrinsic ischemic necrosis of the foot, followed by a characteristic toe deformity. Among them, the deep muscles of the soles have the most chance of involvement, such as the adductor muscles, and its contracture can cause the big toes to be pulled toward the lower side of the second toe or underneath, which makes the shoes and walking feel uncomfortable.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.