RT Book, Section A1 Leuck, JoAnna A1 Hedman, Tyler A2 Reichman, Eric F. SR Print(0) ID 1159810419 T1 Toe Fracture Management T2 Reichman's Emergency Medicine Procedures, 3e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259861925 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159810419 RD 2024/11/06 AB Toe fractures are the most common fracture of the foot. They result most commonly from a direct blow (e.g., from an object falling on an unprotected toe) or a “stubbing” injury.1,2 The incidence of toe fractures has been estimated at 140 cases per 100,000 people per year, with the first and fifth toes being the most commonly affected.1,3 The significance of toe fractures depends greatly upon which digit is affected. Most significant is a fracture of the great toe due to being the main propulsive segment of the forefoot.4 Many patients do not present to the Emergency Department as they consider the injury trivial. Those who do present often do so because of severe pain and/or a large subungual hematoma.