Div 15Toe injuries

Division 15—Toe injuries Extreme toe injury

Examples of factors affecting ISV assessment for items 146 to 149 • Whether the amputation was traumatic or surgical • Extent of the loss of the forefoot • Residual effects on mobility

146.1 Amputation of all toes

•	An ISV at or near the middle of the range will be appropriate if the amputation is through the metatarsophalangeal joints (MTP joints) of all toes
•	An ISV at or near the top of the range will be appropriate if there is complete amputation of all toes and amputation of a substantial part of the forefoot.

146.2 Amputation of the great toe

Example of factors affecting ISV The level at which the amputation happens or any ongoing symptoms

An ISV at or near the top of the range will be appropriate if there is complete loss of the great toe and ball of the foot caused by an amputation through the first metatarsal bone.

146.3 Amputation of individual lesser toes

Example of factors affecting ISV The level at which the amputation happens or any ongoing symptoms

•	An ISV at or near the bottom of the range will be appropriate if there is an amputation of 1 lesser toe and—
(a)	there is no ongoing pain; and
(b)	there is little or no loss of function of the foot; and
(c)	the cosmetic effect of the amputation is minor.
•	An ISV at or near the top of the range will be appropriate if there is complete amputation of all lesser toes and part of the forefoot.

Serious toe injury

The injury will cause serious and permanent disability.

•	A severe crush injury causing ankylosis of the toes
•	A bursting wound, or an injury causing severe toe damage, with significant symptoms

Moderate toe injury

There will be permanent discomfort, pain or sensitive scarring.

•	A moderate injury to the great toe
•	A crush injury causing multiple fractures of 2 or more toes

An ISV at or near the top of the range will be appropriate if there has been more than 1 unsuccessful operation, or there are persisting stabbing pains, impaired gait or similar effects.

Minor toe injury

A relatively straightforward fracture or soft tissue injury

An ISV of 1 will be appropriate if there is a straightforward fracture of 1 or more toes with complete resolution within a short time.