C. T., aged 14, from Tower Hill, Ill., came into my service with a painful and swollen foot due to a horse falling on it. Examination showed marked deformity of the right foot, and suspected fracture with dislocation. A roentgenogram by Dr. Fred O'Hara disclosed a dorsal dislocation of the proximal phalanx of the great toe, with a plantar displacement of the metatarsal, and a fracture of the distal end of the second metatarsal bone. Though Malgaigne calls attention to the fact that four out of ten cases of this type are irreducible, reduction under general anesthesia was readily accomplished and the end-results are perfect.
Skillern1 refers to the rarity of the condition in his report of a case, and I am desirous of adding my case to those already reported, which now total twenty.