title: Unexpected Salter-Harris type II fracture of the proximal phalanx of the second toe: a chiropractic perspective.
abstract: OBJECTIVE
  To discuss the diagnosis and management of a Salter-Harris type II fracture in a nine-year-old girl who was managed conservatively.
  
  
  METHODS
  A nine-year-old girl fell while playing in bare feet in the grass. She experienced pain when she walked or moved her toe. There was minor swelling and bruising.
  
  
  RESULTS
  Plain film radiographs revealed a Salter-Harris type II fracture of the 2(nd) proximal phalanx. Her toe was stabilized and she was referred to an orthopedist. Orthopedic management involved a taping procedure. After three weeks, her fracture healed and she was pain free.
  
  
  CONCLUSIONS
  Chiropractors may consider radiography of post-traumatic injury sites even with equivocal examination findings despite histories suggesting seemingly innocuous mechanisms of injury.
authors.affiliation: Palmer Chiropractic College, Port Orange, FL.
authors.forename: Mark
authors.initials: M
authors.lastname: Murdock
keywords: Salter-Harris; chiropractic; pediatrics; toe fracture
references.citation: J Fam Pract. 1994 Mar;38(3):238-44
references.pmid: 8126403
references.citation: Am Fam Physician. 1992 Oct;46(4):1180-4
references.pmid: 1414883
references.citation: J Pediatr Orthop. 2006 May-Jun;26(3):322-8
references.pmid: 16670543
references.citation: Clin Podiatr Med Surg. 1999 Oct;16(4):793-812
references.pmid: 10553232
references.citation: Injury. 2010 Feb;41(2):137-40
references.pmid: 19570532
references.citation: J Manipulative Physiol Ther. 1995 Jan;18(1):16-20
references.pmid: 7706954
references.citation: Pediatr Crit Care Med. 2012 Jul;13(4):e245-8
references.pmid: 22460775
references.citation: J Manipulative Physiol Ther. 2014 Jul-Aug;37(6):363-76
references.pmid: 25015008
references.citation: J Emerg Med. 2002 Feb;22(2):163-70
references.pmid: 11858921
references.citation: Orthop Clin North Am. 2001 Jan;32(1):1-10
references.pmid: 11465121
references.citation: J Manipulative Physiol Ther. 2007 Nov-Dec;30(9):684-717
references.pmid: 18082743
references.citation: Injury. 1987 May;18(3):157-68
references.pmid: 3508842
references.citation: Clin Orthop Relat Res. 2000 Jul;(376):15-25
references.pmid: 10906853
references.citation: Am Fam Physician. 2003 Dec 15;68(12):2413-8
references.pmid: 14705761
references.citation: J Pediatr Orthop. 1990 Nov-Dec;10 (6):713-6
references.pmid: 2250054
references.citation: J Orthop Trauma. 2012 Feb;26(2):e11-5
references.pmid: 22048177
references.citation: J Accid Emerg Med. 1997 Jul;14 (4):243-5
references.pmid: 9248915
references.citation: Clin Podiatr Med Surg. 1987 Jan;4(1):279-310
references.pmid: 2880652
references.citation: J Manipulative Physiol Ther. 1999 Nov-Dec;22(9):610-4
references.pmid: 10626704
references.citation: J Trauma. 1972 Apr;12 (4):275-81
references.pmid: 5018408
references.citation: Emerg Med Clin North Am. 1992 Feb;10(1):179-203
references.pmid: 1732095
references.citation: J Am Board Fam Pract. 1993 Mar-Apr;6(2):179-81
references.pmid: 8452070
references.citation: J Pediatr Orthop. 1994 Jul-Aug;14 (4):423-30
references.pmid: 8077422