Case: A case of bilateral osteochondral lesions of the first phalanx of the hallux is reported. Despite this, only one foot was symptomatic. We resected the lesion and tightened the capsule without bone-graft interposition with good clinical results.
Conclusion: This case suggests that not all osteochondral lesions of the first phalanx of the hallux manifest clinically and that less aggressive treatments seem to be effective.