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Number Of Accidents (Estimate): 2,131
See also: Other years, Other age groups, Other products, Other body parts.
National Electronic Injury Surveillance System Accidents Records
| Date: 12/01/2007 | Age: 20 years | Sex: Male | Race: Black/African American |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| ABRASION RT 4TH & 5TH TOES-C/O PAIN AND REDNESS WITH YELLOW DRAINAGE TO TOES AFTER GIRLFRIEND STEPPED ON THEM WITH HIGH HEEL SHOES. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 12/01/2007 | Age: 23 years | Sex: Female | Race: White |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| RT 5TH TOE BLISTER-C/O PAIN AND BLISTER TO RT 5TH TOE AFTER WEARING NEW SHOES. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 11/27/2007 | Age: 16 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT C/O R TOE PAIN,STS WORE NEW SHOES,DEVELOPED BLISTERS TO R LITTLE TOE DX R 5TH DIGIT ABSCESS |
| Disposition: Treated and released or examined and released without treatment |
| Date: 10/29/2007 | Age: 17 years | Sex: Male | Race: White |
| Location: School | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Strain, Sprain |
| Product: Footwear, Exercise |
| PT RECEIVED SPRAIN AND CONTUSION TO TOE WHEN RUNNING AT SCHOOL SHOESTRI NG GOT CAUGHT AND PULLED TO BACK. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 10/27/2007 | Age: 21 years | Sex: Female | Race: White |
| Location: Street or highway | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| WEARING FLIP FLOPS, HIT R 5TH TOE ON ROCK ON STREET. DX. LAC L 5TH TOE . |
| Disposition: Treated and released or examined and released without treatment |
| Date: 10/13/2007 | Age: 21 years | Sex: Female | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT WORE NEW SHOES AND NOW HAS INFECTED TOE AND R 2ND TOE. DX. CELLULIT IS R 2ND TOE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 10/07/2007 | Age: 21 years | Sex: Male | Race: Not stated in ER record |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| WEARING SANDELS AT A BAR AND SOMEHOW CUT (L) BIG TOE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 09/19/2007 | Age: 17 years | Sex: Female | Race: White |
| Location: School | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| 17YOF WHILE AT SCHOOL WEARING FLIP FLOPS TRIPPED OVER TREE STUMP; TOE ABRASION |
| Disposition: Treated and released or examined and released without treatment |
| Date: 09/13/2007 | Age: 18 years | Sex: Female | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| RIGHT TOE LAC, PT CUT TOE WHEN WEARING FLIP FLOPS |
| Disposition: Treated and released or examined and released without treatment |
| Date: 09/12/2007 | Age: 20 years | Sex: Male | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| TOE CT-WEARING TENNIS SHOES -LOG FELL ONTO TOE-@ HOME |
| Disposition: Treated and released or examined and released without treatment |
| Date: 09/05/2007 | Age: 24 years | Sex: Female | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| C/O 4TH L TOE PAIN, RAN INTO SOMEONES SHOE, C/O PAIN, DX; TOE CONTUSION |
| Disposition: Treated and released or examined and released without treatment |
| Date: 09/05/2007 | Age: 20 years | Sex: Female | Race: White |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| 20 YO PATIENT TRIPPED OVER CURB WHILE WEARING TENNIS SHOES YESTERDAY, G REAT TOE INSTANTLY SWELLED, BLUISHED IN COLOR, PAINFUL; ECCHYMOSIS |
| Disposition: Treated and released or examined and released without treatment |
| Date: 09/01/2007 | Age: 18 years | Sex: Female | Race: White |
| Location: School | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear, Sports and recreational activity |
| BLISTER ON TOE-TOE RUBBED ON SHOE WHILE MARCHING-@ BAND CAMP |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/30/2007 | Age: 20 years | Sex: Female | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| WEARING FLIP-FLOPS, ACC STUBBED TOE AGAINST AN ?OBJ >>FX |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/26/2007 | Age: 18 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT HAS INFECTED BLISTER ON TOE FROM RUBBING SANDAL. D: CELLULITIS. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/25/2007 | Age: 20 years | Sex: Female | Race: Not stated in ER record |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Avulsion |
| Product: Footwear |
| NAIL EXCISION: AT OZ FEST, HAD OPEN-TOED SHOES, WALKED TOO CLOSE TO PERSON, RIPPED LT GREAT TOENAIL |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/24/2007 | Age: 22 years | Sex: Male | Race: Not stated in ER record |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Puncture |
| Product: Footwear, Pins and needles |
| WALKING THRU DIRTY,GRASSY AREA WEARING SANDALS AND PUNCTURED TOE ON A N EEDLE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/20/2007 | Age: 18 years | Sex: Female | Race: White |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| PT WAS STANDING IN LINE BEHIND SOMEONE WEARIN SANDALS AND THE PERSON IN FRONT OF HER BACK UP WEARING BOOTS STEPPED ON TOE FRACTURED TOE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/16/2007 | Age: 19 years | Sex: Female | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| DX LEFT 5TH TOE FRACTURE: STUBBED FLIP FLOP FOOT ON ROCK. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 08/04/2007 | Age: 23 years | Sex: Female | Race: Black/African American |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| 23YOF WAS WALKING WITH SANDALS IN DEPT STORE & STRUCK A METAL FIXTURE HOLDING CLOTHING INJURING HER LT LITTLE TOE. DX - TOE LACERATION |
| Disposition: Treated and released or examined and released without treatment |
| Date: 07/28/2007 | Age: 20 years | Sex: Female | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear, Floors or flooring materials |
| SHOE ON FLOOR BOUNCED HIT TOE LACERATION LEFT GREAT TOE AND TOE WEBSPACE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 07/25/2007 | Age: 19 years | Sex: Male | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Puncture |
| Product: Footwear |
| PUNCTURE WOUND RT 4TH & 5TH TOES-SUS PUNCTURE TO TOES WHEN A HIGH HEEL SHOE PUNCTURED THEM. |
| Disposition: Left without being seen/Left against medical advice (AMA) |
| Date: 07/25/2007 | Age: 24 years | Sex: Female | Race: Not stated in ER record |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT INJURED HER TOE WHILE WEARING FLIP FLOPS. DX: LEFT GREAT TOE INJURY. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 07/24/2007 | Age: 22 years | Sex: Female | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Amputation |
| Product: Footwear, Power lawn mowers |
| PARTIAL AMP RIGHT 2 AND 3 TOE. PT WAS WEARING *** SANDALS AND GOT FOOT CAUGHT IN MOWER |
| Disposition: Treated and released or examined and released without treatment |
| Date: 06/30/2007 | Age: 23 years | Sex: Male | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear, Lawn mowers |
| LEFT GREAT TOE AND 2ND TOE LACERATION.PT WAS WEARING TENNIS SHOES AND L AWN MOWER RAN OVER FOOT AND LACERATED TOES. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 06/24/2007 | Age: 21 years | Sex: Male | Race: White |
| Location: Street or highway | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear, Soccer |
| 5TH TOE FX-WEARING SANDALS-KICKED A SOCCER BALL-IN THE STREET |
| Disposition: Treated and released or examined and released without treatment |
| Date: 06/17/2007 | Age: 16 years | Sex: Female | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| PT AT A PARTY WALKING IN FLIP-FLOPS,GLASS WENT UP IN BETWEEN FOOT & FLIP-FLOPS, DX 2MD-3RD TOE FLEXOR TENDON LACERATION |
| Disposition: Treated and admitted for hospitalization (within same facility) |
| Date: 06/15/2007 | Age: 25 years | Sex: Female | Race: Not stated in ER record |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear, Stairs or steps |
| FX PROXIMAL PHALANX OF RT GREAT TOE:SLIPPED ON FLIP FLOP SANDLE AND FELL DOWN 4 STEPS AT COURT HOUSE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 06/08/2007 | Age: 20 years | Sex: Female | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| LAC TO TOE WHEN RUNNING IN FLIP FLOPS AT HOME |
| Disposition: Treated and released or examined and released without treatment |
| Date: 06/06/2007 | Age: 16 years | Sex: Male | Race: White |
| Location: School | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| RUNNING AT SCHOOL WEARING FLIP FLOPS, TOE HIT ANOTHER PERSON'S FOOT. D X: FRACTURE TOE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 06/02/2007 | Age: 25 years | Sex: Female | Race: Other |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT WITH CELLULITIS TO TOES FROM NEW SHOES |
| Disposition: Treated and released or examined and released without treatment |
| Date: 05/23/2007 | Age: 17 years | Sex: Male | Race: Not stated in ER record |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear, Basketball |
| PLAYING BASKETBALL WHEN HE TOOK OFF SHOE AND THE SHOW DAMAGED TOENAIL |
| Disposition: Treated and released or examined and released without treatment |
| Date: 05/18/2007 | Age: 25 years | Sex: Male | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Puncture |
| Product: Footwear, Nails, screws, carpet tacks or thumbtacks |
| GREAT TOE PUNCTURE WOUND-STEPPED ON A NAIL THAT WENT THROUGH SHOE-@ HOM E |
| Disposition: Treated and released or examined and released without treatment |
| Date: 05/17/2007 | Age: 17 years | Sex: Male | Race: Black/African American |
| Location: Street or highway | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| WEARING SANDALS ON STREET AND HIT L 2ND TOE ON CEMENT EDGE. DX. CONT L 2ND TOE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/25/2007 | Age: 20 years | Sex: Male | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT HAS BEEN WEARING TIGHT FITTING SHOES. DX: BILAT INGROWN TOENAILS W/NAIL PLATE EXCISION. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/22/2007 | Age: 17 years | Sex: Female | Race: Not stated in ER record |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| TRAUMA TO TOE SOMEONE STEPPED ON FOOT WITH A HIGH HEEL |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/21/2007 | Age: 18 years | Sex: Female | Race: Not stated in ER record |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| PT WAS WEARING FLIP FLOPS AND RUNNING ON ROCKS AND INJURED TOE. DX: RIGHT 5TH TOE-1ST PHALYNX FRACTURE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/15/2007 | Age: 23 years | Sex: Male | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| RT GREAT TOE ABRASION.PT WORE NEW SHOES AND INJURED TOE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/13/2007 | Age: 23 years | Sex: Female | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Avulsion |
| Product: Footwear |
| TOENAIL AVULSION: WEARING OPEN-TOED SANDALS LAST NIGHT, STRUCK RT GREAT TOE WITH LT SHOE, CAUSING AVULSION |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/10/2007 | Age: 19 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| TOE BLEEDING WHILE PUTTING ON SHOE. DX. PROLIFERATIVE GRANULATION TISSU E R 5TH TOE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 04/09/2007 | Age: 24 years | Sex: Female | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| WORE MOM'S SHOE, UNCOMFORTABLE, X2D NOW C TOE PAIN " CONTS" |
| Disposition: Treated and released or examined and released without treatment |
| Date: 03/31/2007 | Age: 21 years | Sex: Female | Race: Not stated in ER record |
| Location: Street or highway | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Avulsion |
| Product: Footwear, Bicycles or accessories |
| PT RIDING BIKE WHILE WEARING FLIP FLOPS WHEN CAUGHT GREAT TOE ON SPEED BUMP. D: TOENAIL AVULSION. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 03/30/2007 | Age: 19 years | Sex: Female | Race: Not stated in ER record |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Strain, Sprain |
| Product: Footwear |
| PT SPRAINED A TOE BY JAMMING IT AGAINST A FRIEND'S SHOE AT HOME. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 03/28/2007 | Age: 21 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Avulsion |
| Product: Footwear |
| DX AVULSED LEFT MIDDLE TOE NAIL: WEARING TOO SMALL OF SHOES. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 03/25/2007 | Age: 20 years | Sex: Female | Race: Not stated in ER record |
| Location: Other public property | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Avulsion |
| Product: Footwear |
| TOE STEPPED ON BY WOMAN WEARING STILLETTO HEELS AVULSING TOE NAIL OFF |
| Disposition: Treated and released or examined and released without treatment |
| Date: 02/22/2007 | Age: 20 years | Sex: Female | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Contusion Or Abrasion |
| Product: Footwear |
| CONTUSION TOE WHEN HUSBAND STEPPED ON TOE WITH HIS SHOE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 02/15/2007 | Age: 17 years | Sex: Male | Race: Black/African American |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Burns, Not Spec |
| Product: Footwear, Day wear |
| PT WALKING IN SNOW X2 HRS IN THIN DRESS SHOES AND SOCKS, NOW W/NUMBNESS TO TOES AND COLD FEET, MILD ERYTHEMA TO TOES; FROSTNIP |
| Disposition: Treated and released or examined and released without treatment |
| Date: 02/06/2007 | Age: 24 years | Sex: Female | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Strain, Sprain |
| Product: Footwear |
| WEARING SANDALS WHEN SLIPPED AND FELL ON WET GRASS SUST INJ TO R 2ND TO E DX R 2ND TOE SPRAIN |
| Disposition: Treated and released or examined and released without treatment |
| Date: 02/05/2007 | Age: 25 years | Sex: Female | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| PT BOYFRIEND WEARING BOOTS STEPPED ON PTS FOOT DX// FX LEFT 3RD TOE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 02/03/2007 | Age: 20 years | Sex: Female | Race: White |
| Location: Street or highway | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Fracture |
| Product: Footwear |
| 5TH TOE FX. PT WAS WALKING IN HIGH HEELS AND STEPPED IN POT HOLE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 01/27/2007 | Age: 19 years | Sex: Female | Race: White |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Laceration |
| Product: Footwear |
| RT GREAT TOE LACERATION.PT WAS WEARING FLIP FLOPS AND INJURED TOE. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 01/15/2007 | Age: 23 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Hematoma |
| Product: Footwear |
| DX SUBUNGAL HEMATOMA TO TOES: HIKING, INJURED TOES BY BAD HIKING BOOTS. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 01/09/2007 | Age: 21 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Avulsion |
| Product: Footwear |
| WEARING SANDALS OUTSIDE AND CAUGHT TOE ON GROUND AVULSION TOE |
| Disposition: Treated and released or examined and released without treatment |
| Date: 01/08/2007 | Age: 24 years | Sex: Male | Race: Black/African American |
| Location: Home | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Other |
| Product: Footwear |
| PT HAS BEEN WEARING POOR FITTING SHOES. DX: R FIFTH TOE INGROWN TOENAIL. |
| Disposition: Treated and released or examined and released without treatment |
| Date: 01/08/2007 | Age: 17 years | Sex: Male | Race: Not stated in ER record |
| Location: Not recorded | Fire: No fire involvement or fire involvement not recorded |
| Body part: Toe | Diagnosis: Strain, Sprain |
| Product: Footwear |
| PT WEARING SHOES TO BIG FOR PT,RUNNING ON WET GRASS,SLIPPED,FELL C/O PAIN TO 2ND TOE R FOOT, DX TOE SPRAIN |
| Disposition: Treated and released or examined and released without treatment |
|