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The Foot If a fractured metatarsal or phalanx is suspected you don't really need an xray. The correct management should be determined from the clinical examination. Paediatrics: All injuries to phalanges are uncommon. Shaft fractures, transverse or oblique are more common than epiphyseal injuries. The Great (or big) toe is more common than others and the mechanism is usually a stubbing of the toe. Proximal and distal phalanges far commoner than the middle. Salter Harris type I and II and MTP/IP dislocations are rare.
			The AP View Important Rules The medial margin of the base of the second metatarsal should be inh line with the medial margin of the middle cuneiform in this view.
			The Oblique View. Important Rules: The medial margin of the base of the third metatarsal should be in line with the medial margin of the lateral cuneiform in this view.