Dorsal dislocation of the first metatarsophalangeal joint

Traumatic dislocation of the first metatarsophalangeal joint is a rare clinical finding. Ability to reduce the dislocation by nonoperative measures depends largely on the type of dislocation and involvement of the sesamoid complex. A brief description of the incidence, anatomy, and pathomechanics of dorsal dislocation of the first metatarsophalangeal joint is given. A report of a 33-year-old female with complete dorsal dislocation of the first metatarsophalangeal joint and anatomically preserved sesamoid complex is provided.