I believe that it was the result of bunion surgery, Dr has not admitted to anything yet. It first dislocated within the first three weeks after surgery while I was still in a cast. It was discovered when they took the stiches out. At that time they manipulated back into place (talk about pain) and splinted it. X-rays show that it was back in place, however within two weeks it was dislocated again. Surprisingly I don't have much pain unless it gets bumped. I am unable to flex the toe at all, although I can wiggle the tip with my fingers, kind of like a loose tooth. That's the story so far ....