Abstract
A case is presented in which fracture dislocation at the tarsometatarsal joint is complicated by dislocation of the second metatarsophalangeal (MTP) joint and fractures of the necks of the third and fourth metatarsals. Such a case has not been described previously, although the idea of segmental forefoot injuries has been introduced by English 1 who reported two cases in which dislocations occurred at the fourth and fifth MTP joints in association with an injury to the tarsometatarsal joint. This case highlights the fact that the anatomy of the soft tissues of the forefoot must be remembered if reduction proves difficult.
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