case_images: PMC10748921_01
case_images: X-ray foot anteroposterior (a and b) and oblique view (c and d) of the bilateral foot shows flattening of the right second metatarsal head with the widening of the joint space. Sclerosis of the articular surface is also noted. No obvious cortical deformity is seen. The rest of the metatarsal and phalangeal bones are normal. There is mild deformity noted in the left metatarsal head with flattening in the lateral surface. Increased joint space is also noted. Sclerosis is noted in the articular surface of the left second metatarsal head.
case_images: 10.1177_2050313X231221464-fig1.jpg
case_images: PMC10748921_01_10.1177_2050313X231221464-fig1.jpg
case_images: fig1-2050313X231221464
case_images: Plain radiography showed the flattening of the head of the right second metatarsal with increased joint space (Figure 1(a)-(d)). Mild sclerosis of the underlying bony cortex was seen (Figure 1(a)-(d)). Mild deformity with flattening of the lateral surface of the head of the left 2nd metatarsal was also seen (Figure 1(a)-(d)).
case_images: (a) Plain T2 fat-sat MRI of right foot showing high signal intensity in the head of first metatarsal in dorsal and plantar aspects (blue arrow). High signal marrow edema is also noted. (b) Plain T2 fat-sat MRI of the left foot showing high signal intensity in the head of first metatarsal in dorsal and plantar aspects (blue arrow).
case_images: 10.1177_2050313X231221464-fig2.jpg
case_images: PMC10748921_01_10.1177_2050313X231221464-fig2.jpg
case_images: fig2-2050313X231221464
case_images: MRI showed high signal intensity in the head of the first metatarsal in dorsal and plantar aspects (Figure 2(a) and (b)).