What does foot arthritis look like on x ray

Mr Redfern sees a lot of patients with this condition and will assess your symptoms carefully. He will examine your foot and obtain weight bearing X-rays to establish the extent of the arthritis. He will then talk to you about the different treatment options.

Rheumatoid arthritis of the feet, X-ray

Rheumatoid arthritis – feet

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Arthritis of the big toe joint is a process which results in damage to the normally smooth articulating surfaces of the big toe joint. The medical term for this condition is ‘hallux rigidus’ which quite literally means stiff big toe. The condition can cause pain, stiffness and often swelling of the big toe joint (hallux metatarsophalangeal joint).

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Rheumatoid disease is a multi-system disorder, most associated with musculoskeletal manifestations. It is usually a seropositive arthrititis, characterized by an erosive arthropathy. A large component of modern care of these diseases is early aggressive treatment, including with biological therapies, before the radiographic findings become apparent. The patient was a known rheumatoid arthritis sufferer.

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What does foot arthritis look like on x ray

Arthritis of the Foot and Ankle

The Arthritis damages the highly specialized cartilage which lines the end of bones allowing smooth joint movement. Arthritis can occur in any of the joints of the foot and ankle but is most common in the big toe joint. It is very often an inherited condition and can begin to cause problems in relatively early adult life.

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Case Discussion

Marginal erosions involving the MTP joint of the right little toe. Associated periarticular subchondral lucency.

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Patient Data

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Arthritis is typically diagnosed on x-rays. Osteoarthritis (OA) is the most common form of arthritis and is related to wear-and-tear processes, genetics, injuries, and it is a normal part of the aging process. An arthritis joint will demonstrate narrowing of the space between the bones as the cartilage thins, bone spurs on the edges of the joint, small cysts within the bone, and sometimes deformity of the joint, causing it to look crooked. See the x-ray for common findings in osteoarthritis of the hand. The joints closest to the fingertip and the joint at the base of the thumb are the most common joints in the hand affected by osteoarthritis.

Hallux rigidus is the medical term for arthritis of the joint at the base of the big toe. Arthritis of this joint is strongly inherited and usually affects both feet although not necessarily to the same extent. In these X-rays you can see the big toe joint looks disorganised compared to the other joints with spurs around the edges of the joint and a narrowed space between the two sides of the joint due to loss of cartilage in the joint.

Big Toe Arthritis

The Radiology Assistant : Arthritis

At the time the case was submitted for publication Ian Bickle had no recorded disclosures.

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Presentation

Patients usually present with pain and stiffness in the big toe joint (hallux metatarsophalangeal joint). They have also often noticed that the joint has become larger with a bony bump on top. This bump is sometimes called a ‘dorsal bunion’ which is a confusing term as it is not a true bunion but a bump caused by the underlying arthritis.

Patients usually often report noticing pain and stiffness with activities such as longer walks or running. Often the joint is more painful after the activity. Certain types of footwear can also provoke pain in this condition, especially men’s formal shoes and ladies’ high heels.

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