78 year old man presented with severe, progressive pain of the great toe with limitation of motion leading to difficulty walking. Radiographs are posted. What is the cause for pain.

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# medial cuniform # first metatarsal Any history of trauma/injury?

No such history sir . its Its Hallux Rigidus
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X ray shows diminished 1st MTP jt space with osteohpytes . Other smaller joints also shows OA changes. The pt is having hallux rigidus. ? Primary global OA or secondary from crystal induced arthopathy. At his age he needs to be ambulatory on support , pain controlled ,& comfortable . Exercises /wax bath etc.

Thank you sir its Its Hallux Rigidus
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Avn of head of 1st MT head, secondary to osteoporosis!!

Diagnosis is Hallux Rigidus
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With secondary OA 1st MTP joint

Its Hallux Rigidus
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Osteoarthritis.. ?

Yes its Severe OA at the 1st MTP joint with joint-space narrowing, subchondral sclerosis large lateral and dorsal osteophytes. Dorsal soft tissue abnormality has a similar appearance to the bunion associated with hallux valgus.
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Taller #

Given the characteristic site of 1st MTP joint gouty arthritis should be ruled out first . There is a decreased jt space at mtp jt with some opacity ..Tophi ?? Blood for serum Uric acid should be done

Its Hallux Rigidus
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Crystallopaties Might be gouty arthritis

Findings are Severe OA at the 1st MTP joint with joint-space narrowing, subchondral sclerosis large lateral and dorsal osteophytes.
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gouty arthritis of 1st MTP jount

Findings are Severe OA at the 1st MTP joint with joint-space narrowing, subchondral sclerosis large lateral and dorsal osteophytes. its Its Hallux Rigidus
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I agree with Dr.S.Ishtiaque.

Sir its Its Hallux Rigidus
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