X-ray
Oblique
Frontal
Osteolysis and destruction of the 5th toe proximal phalanx head and middle phalanx
Sclerotic changes at the 4th toe proximal phalanx
Flattening of the 2nd metatarsal head with subchondral sclerosis associated with the secondary degenerative changes in keeping with Freiberg disease.
Dorsalis pedis artery calcification is seen.