Image 1: XRAY

This is an AP view of a painful 1st MPJ, Right foot.

Image 1

“This is a radiograph of the Right foot, AP view. Starting proximal to distal, there is an increase in intermetatarsal angle and within normal Hallux Abductus Angle. There is metatarsal head flattening, joint space narrowing, osteophytic production, spuring, subchondral sclerosis, and subchondral cysts. There is increase in soft tissue volume and density of the first metatarsalphalangeal joint. Overall there is appropriate parabola of the metatarsals, sesamoids in adequate position with an accessory fibular sesamoid seen.

My impression is…Hallux Rigidus with severe flattening of the metatarsal head. Regnauld/Oloff classification Stage 3. I would like to see a lateral view and test it clinically to solidify my findings.”

Answer: Hallux Rigidus