It has been argued that x-rays of clinically undisplaced injuries of the toe are unnecessary as they do not alter treatment. This is only true provided the toe is examined carefully since it is important not to miss a dislocation of the toe that would need reduction. Dislocations can be reduced under local anaesthesia. A post-reduction X-ray should be obtained.

Click on the x-rays to enlarge.

Fig 1: Dislocation of the 3rd and 4th metatarso-phalangeal joints Fig 2: Dislocation of the little toe