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Proximal Phalanges (Foot)

phalanges proximales pedis

The proximal phalanges of the toes articulate with the metatarsals at the metatarsophalangeal joints and undergo significant loading during push-off in gait, with the great toe proximal phalanx particularly important in propulsion.

Anatomical Data

Structure & Landmarks

Articulations	Metatarsal heads at MTP joints Middle phalanges at PIP joints Great toe has no middle phalanx, articulates directly with distal phalanx
Landmarks	Base Shaft Head
Ossification	Endochondral ossification with proximal epiphyses.

Clinical Relevance

Clinical Notes

Proximal toe phalanges are commonly fractured from stubbing or dropping heavy objects on the toes, with the great toe proximal phalanx being most clinically significant. Great toe fractures affecting the sesamoid articulation or producing significant displacement require more careful management than lesser toe injuries. Buddy taping and stiff-soled footwear provide adequate immobilisation for most toe phalanx fractures.

Pathology

Common Injuries & Conditions

Toe Fracture

Stubbing or dropping a heavy object on the foot fractures the proximal phalanges, usually treated with buddy strapping.

Turf Toe

Hyperextension injury of the first MTP joint capsule and plantar plate, common on artificial turf.

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