Phalanges of the foot
Phalanges pedis
Also known as: toe bones, hallux
Fourteen short long bones forming the toes: two in the great toe (hallux) and three in each of the lesser toes.
Overview
The foot phalanges follow the same plan as those of the hand (base, shaft, head) but are much shorter, especially the middle and distal phalanges of the lesser toes, which may be fused in the little toe. The hallux has only a proximal and a distal phalanx; they are large and robust for the push-off phase of gait. The toes articulate at the metatarsophalangeal (condyloid) and interphalangeal (hinge) joints, and receive the tendons of the long and short flexors and extensors (flexor digitorum longus to the distal phalanges, brevis to the middle phalanges; extensor hallucis longus to the distal phalanx of the hallux).
The toes, especially the hallux, help balance and stabilise the body during standing and actively press against the ground in late stance (windlass mechanism tensing the plantar aponeurosis).
- Location
Toes, distal to the metatarsals.
Parts & subdivisions
- Proximal phalanges (5)Articulate with metatarsal heads.
- Middle phalanges (4)Absent in the hallux; short; often fused with the distal phalanx in the 5th toe.
- Distal phalanges (5)Support the toenails; flexor digitorum longus inserts on their bases.
Anatomy
- Articulations
Metatarsophalangeal and interphalangeal joints.
- Ossification
Primary centres ≈weeks 9–15 (distal phalanx of the hallux first); secondary centres at the bases appear ≈2–8 years and fuse ≈15–18 years.
Function
- Support the toes for balance and propulsion during gait
- Increase the weight-bearing area of the forefoot
- Attachment for long and short toe flexors and extensors
Clinical significance
Toe deformities
Hammer toe (PIP flexion), claw toe (MTP extension with PIP and DIP flexion — often neurological, e.g. Charcot–Marie–Tooth) and mallet toe (DIP flexion).
Gout and turf toe
The 1st MTP joint is the classic site of acute gout (podagra); hyperextension sprain of its plantar plate in athletes is "turf toe".
Compiled from standard anatomy and physiology references — see the Skeletal System sources. For education only; not medical advice.