Posttraumatic Pathologies of the First Metatarsophalangeal Joint

Injuries to the first metatarsophalangeal joint are often missed and not adequately treated, resulting in secondary deformities and degenerative arthritis. The particular anatomy of the joint puts mainly soft tissue structures at risk, which is why conditions such as turf toe injury and valgus or varus deformities can occur. Because the sesamoid bones are receiving high pressures, fractures should be considered. Many conditions can be treated conservatively by offloading, immobilization, or taping. Surgical options for high instability, dislocated fractures, or advanced cartilage damage should be recommended.