Fracture of biphalangeal fifth toe: A diagnostic pitfall in the emergency department

Biphalangeal toe is a normal anatomic variant where distal and middle phalanges fuse to each other. in the context of trauma,biphalangeal toes may pose a diagnostic challenge and fractures may be interpreted as normal which can lead to misdiagnosis and under treatment. here,we present a rare case of fracture through a biphalangeal fifth toe with delayed diagnosis. this variation should be kept in mind during the evaluation of a patient with foot trauma and assessment of foot radiographs,particularly in the emergency department where the majority of initial cases are presented. © 2016 turan,kose,guler,ozyurek,licensee hbku press.