Traumatic injuries of the first ray

Injuries involving the first ray are common and can lead to significant pain and disability. The management of these injuries, both conservative and surgical, is discussed in this article. Treatment goals include recreating a uniformly plantigrade weight-bearing surface under all the metatarsal heads, preserving functional anatomy, and preventing traumatic arthritis while maintaining a supple, pliable foot. Many of these injuries can be prevented by use of proper, protective shoegear.