PEDIATRIC FOOT PHALANGEAL FRACTURES

Pediatric foot phalangeal fractures are common orthopedic injuries in childhood. These fractures usu-ally occur due to impact, falling objects on foot, or sports injuries and require a different approach than adults, mainly because the growth plates (physis) are open. Clinical findings include pain, swell-ing, ecchymosis, and deformity, while radiographic examination is the primary method for diagnosis. Treatment is determined by the fracture’s location and the displacement amount. Non-displaced or minimally displaced fractures are usually treated with conservative methods, while displaced, highly rotated, or unstable fractures may require surgical treatment. Great toe fractures, especially those with proximal phalanx and articular surface involvement, should be carefully considered due to their func-tional importance. Complications include growth plate damage, malunion, nonunion, osteomyelitis, and post-traumatic arthritis. Therefore, early diagnosis, appropriate treatment, and regular follow-up are critical for successfully managing pediatric foot phalangeal fractures.