# Single-digit clubbing revealing an occult fracture

**Authors:** Mahesh Mathur, Sushan Adhikari, Sumit Paudel, Nabita Bhattarai, Sambidha Karki, Sandhya Regmi

PMC · DOI: 10.1093/omcr/omaf065 · Oxford Medical Case Reports · 2025-06-27

## TL;DR

A rare case of toe clubbing was found to be caused by an undetected fracture.

## Contribution

This case report adds an occult fracture as a novel cause of single-digit clubbing.

## Key findings

- Single-digit clubbing can be caused by an occult fracture.
- The case involved a toe with solitary digital clubbing due to an underlying fracture.

## Abstract

Single-digit clubbing is a rare physical sign, with only a few cases reported in the literature. The causes of single-digit clubbing are myxoid cyst, osteoid osteoma, enchondromas, myxochondromas, superficial acral fibromyxoma, sarcoidosis, median, and ulnar nerve injury. We hereby report a case of solitary digital clubbing of the toe due to an underlying occult fracture.

## Full-text entities

- **Diseases:** sarcoidosis (MESH:D012507), acral fibromyxoma (MESH:D005350), osteoid osteoma (MESH:D010017), median, and ulnar nerve injury (MESH:C563598), enchondromas (MESH:D002812), myxoid cyst (MESH:D045888), Single-digit clubbing (MESH:D010004), fracture (MESH:D050723)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12202302/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC12202302/full.md

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Source: https://tomesphere.com/paper/PMC12202302