The phalanges of the foot correspond in number and arrangement to those of the hand. The big toe consists of two phalanges—proximal and distal—while the other toes each have three phalanges: proximal, middle, and distal. These bones enable toe movement and contribute to balance and mobility.
General Characteristics
14 phalanges in each foot
Big toe (hallux) has 2 phalanges
Toes 2-5 each have 3 phalanges
Similar structure to phalanges of the hand but shorter and broader
Phalanx - Individual Structure, Preview from the app. Download 3D OSTEOLOGY for full 3D control—multiple views, x-ray mode, and unlimited zoom.
Each phalanx shares a common structural pattern consisting of a base, body, and head, similar to the metatarsal bones but on a smaller scale.
Base
Concave structure
Articulates with the head of the corresponding metatarsal bone
For middle and distal phalanges, articulates with the head of the preceding phalanx
Body
Compressed from side to side
Convex on the dorsal surface
Concave on the plantar surface
Tapers from base to head
Head
Located at the distal end
Presents a trochlear surface for articulation with the adjacent phalanx
Pulley-shaped to allow flexion and extension movements
TROCHLEA
The trochlea is a critical articular feature of each phalanx that enables smooth joint movement.
Characteristics
Part of the head of each phalanx
Provides a smooth articular surface for movement between adjacent phalanges
Pulley-shaped (grooved) configuration
Allows hinge-type movements:
Flexion (curling toes)
Extension (straightening toes)
PROXIMAL PHALANGES
The proximal phalanges form the first row of toe bones and are the largest of the three types.
Characteristics
First row of phalanges
Articulate with the metatarsal bones at their bases
Longest of the three phalangeal types
Five proximal phalanges in each foot
Proximal phalanx of big toe is notably larger and thicker
MIDDLE PHALANGES
The middle phalanges are the second row of toe bones and are absent in the big toe.
Characteristics
Second row of phalanges
Present in all toes except the big toe
Four middle phalanges in each foot
Shorter than proximal phalanges
Articulate proximally with proximal phalanges and distally with distal phalanges
Fifth toe middle phalanx is often rudimentary or may fuse with distal phalanx
DISTAL PHALANGES
The distal phalanges form the tips of the toes and have unique features for supporting the nail bed.
Characteristics
Form the tips of the toes
Head features a trochlear surface for articulation with the middle phalanges
Distal phalanx of big toe articulates directly with proximal phalanx
Tuberosity
Base includes a tuberosity
Attachment site for the tendons of toe muscles:
Flexor digitorum longus
Flexor hallucis longus (big toe)
Expanded distal end supports the nail bed
Five distal phalanges in each foot
BIBLIOGRAPHY
1. Henry G, Warren HL. Osteology. In: Anatomy of the Human Body. 20th ed. Philadelphia: Lea & Febiger; 1918. p. 129–97.
QUICK FACTS: PHALANGES OF THE FOOT
Key questions answered about this anatomy topic
Q:
How many phalanges are present in each foot?
Answer: 14 phalanges. Each foot contains 14 phalanges: 2 in the big toe and 3 in each of the other four toes (2 + 12 = 14).
Q:
How many phalanges does the big toe (hallux) have?
Answer: 2 phalanges. The big toe (hallux) has only 2 phalanges—proximal and distal—unlike the other toes which have 3 phalanges each.
Q:
What is the shape of the base of each phalanx?
Answer: Concave structure. The base of each phalanx has a concave structure that articulates with the convex head of the corresponding metatarsal bone or preceding phalanx.
Q:
How is the body of each phalanx compressed?
Answer: From side to side. The body of each phalanx is compressed from side to side, making it convex on the dorsal surface and concave on the plantar surface.
Q:
What is the trochlea of the phalanx?
Answer: A smooth articular surface on the head for movement between phalanges. The trochlea is part of the head of each phalanx and provides a smooth, pulley-shaped articular surface for hinge-type movements between adjacent phalanges.
Want to test yourself? Try the interactive quiz above!