Broken Toe (cont.)

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What are the possible complications of a broken toe?

  • Nail injury: A collection of blood may develop underneath the toenail called a subungual hematoma. If it is large, it may need to be drained. To drain a subungual hematoma a doctor will make a small hole in the toenail to drain the blood out. If the hematoma is very large or painful, the entire toenail may need to be removed. The injury may also result in a broken toenail that may need to be trimmed or removed.

  • Compound fracture: Rarely, the broken bone in a toe fracture may stick out through the skin. This is called an open or compound fracture. Emergency medical treatment and surgery may be necessary in this case.

  • Arthritis: After the toe fracture heals, the person may still be left with arthritis, pain, stiffness, or even a deformity.

  • Nonunion/malunion: Sometimes, the fractured bone will not heal completely (called a nonunion) or will heal improperly (called a malunion). Rarely, surgery may be necessary to fix this problem.

Picture of subungual hematoma

When should I call a doctor about a broken toe?

Go to a hospital's emergency department if the following signs or symptoms are present:

  • Any symptoms of a possible open (compound) fracture which include open wounds, bleeding, or drainage from near the broken toe;

  • Cold, numb, tingling, or unusual sensation in the toes;

  • Blue or gray colored skin near the injury.

Call a doctor if any of the following occur:

  • If the broken toe pain worsens or new pain is not relieved by pain medication;

  • Sores, redness, or open wounds near the injured toe;

  • A cast or splint is damaged or broken.

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