Partial articular fractures of the proximal hallux

These are simple articular fractures, either involving the surface of the interphalangeal joint or the metatarsal phalangeal joint. Fractures may include joint incongruity or instability secondary to fracture displacement. 

These fractures usually result from low-impact injuries, such as axial load to the toe, when kicking a doorstep.

Conventional radiographs of the great toe in AP and lateral oblique views are sufficient for diagnosis and treatment.

This case shows a displaced distal partial articular fracture of the proximal hallux.

This image shows an intraarticular proximal phalanx fracture involving the metatarsal phalangeal joint in all three views.

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