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We report 3 cases of dorsal dislocation of the first metatarsophalangeal joint treated by closed reduction. Associated dislocation of the sesamoid complex may make reduction difficult. We suggest a modification of Jahss's classification and have confirmed our findings in amputation specimens.

Plantar dislocation of the metatarsophalangeal joint of the great toe is a rare injury. We report one example which occurred in a lactating lady following minor trauma, and which was successfully treated by closed manipulation. There was no evidence of major generalised ligamentous laxity.

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