Skip to main content

Main menu

  • Home
  • COVID-19
    • Articles & podcasts
    • Blog posts
    • Collection
    • News
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • Classified ads
  • Authors
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
  • CMA Members
    • Overview for members
    • Earn CPD Credits
    • Print copies of CMAJ
    • Career Ad Discount
  • Subscribers
    • General information
    • View prices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN

User menu

Search

  • Advanced search
CMAJ
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN
CMAJ

Advanced Search

  • Home
  • COVID-19
    • Articles & podcasts
    • Blog posts
    • Collection
    • News
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • Classified ads
  • Authors
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
  • CMA Members
    • Overview for members
    • Earn CPD Credits
    • Print copies of CMAJ
    • Career Ad Discount
  • Subscribers
    • General information
    • View prices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
  • Visit CMAJ on Facebook
  • Follow CMAJ on Twitter
  • Follow CMAJ on Pinterest
  • Follow CMAJ on Youtube
  • Follow CMAJ on Instagram
Practice

Atraumatic fracture of proximal first phalanx

Matthias Bramkamp and Mark Schärer
CMAJ September 26, 2006 175 (7) 739-739-b; DOI: https://doi.org/10.1503/cmaj.060599
Matthias Bramkamp
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark Schärer
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Tables
  • Responses
  • Metrics
  • PDF
Loading

What's your call?

Figure1

Figure. A 50-year-old man with a history of gout presented with a tender, swollen, red great toe of 2 weeks' duration.

The patient was found to have a normal uric acid level but an elevated random glucose level (17 mmol/L, normal 3.9–6.1 mmol/L). Type 2 diabetes was diagnosed. The patient then admitted to a 7-year history of diabetes, with little treatment, and was found to have bilateral peripheral neuropathy and decreased sensation in his feet. He had no history of trauma that he could recall. The patient also admitted to drinking up to 5 drinks of alcohol a day for several years, a risk factor for neuroarthropathy.1

The differential diagnosis for an acute monoarthritis of the first phalangeal joint includes gout, pseudogout, infection, osteomyelitis, cellulitis, trauma and fracture. Besides fracture, other common diabetic foot lesions include osteolysis, osteoporosis, osteosclerosis, juxtra-articular defects of the cortical bone, new bone formation and sclerosis of the shaft, ischemic bone necrosis, subluxation and neuropathic arthropathy.

A radiograph of the patient's foot revealed a fracture in the first phalanx (Fig. 1, arrow). The patient responded well to 4 weeks of casting and oral antihypertensive and hypoglycemic therapy.

Figure2
  • Download figure
  • Open in new tab
  • Download powerpoint

Figure.

REFERENCE

  1. 1.↵
    Bjorkengren AG, Weisman M, Pathria MN, et al. Neuroarthropathy associated with chronic alcoholism. AJR Am J Roentgenol 1988;151:743-5.
    OpenUrlPubMed
PreviousNext
Back to top

In this issue

Canadian Medical Association Journal: 175 (7)
CMAJ
Vol. 175, Issue 7
26 Sep 2006
  • Table of Contents
  • Index by author

Article tools

Respond to this article
Print
Download PDF
Article Alerts
To sign up for email alerts or to access your current email alerts, enter your email address below:
Email Article

Thank you for your interest in spreading the word on CMAJ.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Atraumatic fracture of proximal first phalanx
(Your Name) has sent you a message from CMAJ
(Your Name) thought you would like to see the CMAJ web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Atraumatic fracture of proximal first phalanx
Matthias Bramkamp, Mark Schärer
CMAJ Sep 2006, 175 (7) 739-739-b; DOI: 10.1503/cmaj.060599

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
‍ Request Permissions
Share
Atraumatic fracture of proximal first phalanx
Matthias Bramkamp, Mark Schärer
CMAJ Sep 2006, 175 (7) 739-739-b; DOI: 10.1503/cmaj.060599
Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • REFERENCE
  • Figures & Tables
  • Responses
  • Metrics
  • PDF

Related Articles

  • Highlights of this issue
  • Dans ce numéro
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Azathioprine-induced severe anemia potentiated by the concurrent use of allopurinol
  • Schwannoma of the tongue
  • “Superscan” in diffusion-weighted imaging with background body suppression magnetic resonance imaging
Show more Practice

Similar Articles

Collections

  • Topics
    • Diabetes

Content

  • Current issue
  • Past issues
  • Collections
  • Sections
  • Blog
  • Podcasts
  • Alerts
  • RSS
  • Early releases

Information for

  • Advertisers
  • Authors
  • Reviewers
  • CMA Members
  • Media
  • Reprint requests
  • Subscribers

About

  • General Information
  • Journal staff
  • Editorial Board
  • Governance Council
  • Journal Oversight
  • Careers
  • Contact
  • Copyright and Permissions

Copyright 2021, Joule Inc. or its licensors. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p)

All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

Powered by HighWire