Medial dislocation of the great toe without fracture or sesamoid separ
ation is are unusual event. We are reporting such a case which occurre
d in a man after a motor vehicle accident. The patient was treated wit
h closed reduction and cast immobilization. The patient recovered all
his activities after 30 days. Three-year follow-up showed a complete r
ecovery, clinically and radiographically, with only slight radiographi
c signs of osteoarthritis, which was present also in the contralateral
foot.