Hallux rigidus

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Bilateral forefoot pain and reduced great toe dorsiflexion.

Patient Data

Age: 30-35 years
Gender: Male
x-ray

Mild bilateral pes planus. Mild bilateral first metatarsophalangeal joint space narrowing with marginal osteophytes, most prominent dorsally. Small peri-articular ossicles.

Case Discussion

Hallux rigidus is principally a clinical diagnosis (as in this case). On imaging, hallux rigidus typically presents as first metatarsophalangeal joint osteoarthritis with prominent/large dorsal osteophytes.

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