Abstract : Irreducible dorsal dislocation of the interphalangeal joint of the great toe is extremely rare. Here, we report a case of a 27-year-old male patient with an open dorsal dislocation of the left great toe resulting from a twisting injury while playing football. After the affected site was washed with normal saline, manual closed reduction was performed, but it failed because of bony and soft tissue entrapment. Nevertheless, it was successfully managed by open reduction and internal fixation using Kirschner wire. In addition, the interposition of the joint capsule and hallux sesamoid was found and reduced. This case is the first to be reported in the Middle East and the first to be reported as open dislocation worldwide.