We describe a case of traumatic avulsion fracture of the distal phalanx of the hallux in a paediatric patient. The patient had a Salter Harris type III fracture of the distal phalanx with 40% of the articular cartilage involved and a clinical extension lag. We treated the injury nonoperatively with applying a fibreglass dorsiflexion interphalangeal plaster for 6 weeks. An excellent outcome was achieved with normal range of interphalangeal motion and solid painless union of fracture at 12 weeks.
