A 1983 CMCC graduate, Dr. Marshall Deltoff completed his radiology residency at Los Angeles College of Chiro- practic. He is a past radiology department chairman and resi- dency coordinator at CMCC, and he initiated the radiology curriculum at UQTR. Dr. Deltoff has lectured throughout North America, and is co-author, along with Dr. Peter Kogon, DACBR, of the radiology text “The Portable Skeletal X-ray Library” published by Mosby- Yearbook of St. Louis. Deltoff can be reached at: Images Radiology Consultants, 16 York Mills Road, Toronto, Ont. M2P 2E5 Tel: (416) 512-2225 Fax: (416) 512-2226 e-mail: [email protected] Dr. Figure A T 58 • CANADIAN CHIROPRACTOR | SEPTEMBER 2008 his 62-year-old woman presented with severe pain in the fourth right toe. She relates that she always walks around the house barefoot, and bumped her foot against a heavy chair. Radiographs reveal an oblique fracture of the proximal phalanx of the fourth digit. (Figure A). Diagnosis: Bedroom fracture. OUCH!! Turn on the lights, get the ice pack, and let’s review toe fractures. There are three main etiologies of phalangeal fractures in the foot: a) crush injuries: typically comminuted fracture of one or more phalanges, caused by dropping a heavy object on the foot b) bedroom fracture: typically oblique, this fracture is caused by a direct blow to the side of a toe, such as striking a hard object with a bare foot (like the foot of the bed in a dark bedroom) c) chip fracture: a small avulsion of a fl ake of bone, usually near a phalangeal articular margin, typically following digital hyperextension www.canadianchiropractor.ca Marshall Deltoff, DC, DACBR, FCCR(C)
Chiropractic + Naturopathic Doctor September 2008: Page 58
