Second metatarsophalangeal joint (MTPJ) instability can be a very painful and disabling foot disorder for dancers. The purpose of this case report is to review an incident where a dance instructor sub-luxed her second MTPJ after performing a specific tap dance step. This second MTPJ subluxation was treated surgically via a flexor digitorum longus tendon transfer. The dance instructor also had underlying forefoot pathology consisting of hallux abducto valgus (HAV) and a second hammertoe. These deformities were also addressed at the time of surgery. This patient had a good surgical outcome and was able to return to her dance instruction.
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