Hallux rigidus (‘great toe arthritis’) is one of the most common arthritic conditions of the foot, presenting as pain and stiffness in the metatarsophalangeal joint (MTPJ). It has a bimodal presentation, commonly presenting in patients aged in their 50s or 60s and less commonly in young athletic patients after ligament trauma.^1,2 The condition is progressive in nature and early symptoms can be managed nonoperatively; however, many patients seek surgical intervention as symptoms progress.³