Diaphyseal and extraarticular end segment fractures of the proximal hallux

These are proximal hallux fractures not involving the articular surface.

There are several possible configurations, including both simple and multifragmentary patterns.

A spectrum of violence can result in this fracture.

Low energy typically results in simple fractures, and high energy typically results in multifragmentary fractures.

AP and lateral oblique views are sufficient for diagnosis and treatment.

The clinical picture includes swelling, ecchymosis, and pain with range of motion. In some fractures, a deformity may be present.