Case A 57-year-old man presented with pain and swelling of his left big toe. He reported that the problem had been there over the last 7 years but appeared intermittently. However, recently, pain episodes were frequent and he could not bear his weight on that side. History He had a hernia operation 14 years ago He is on hypertension (bendroflumethiazide) and hyperlipidemia (simvastatin) medications.
Ex- smoker and consumes 14 units of alcohol per week No history of trauma Examination Physical examination revealed a tender, erythematous left big toe with significant reduction in the range of motion at the first metatarsophalangeal joint Moderately raised WBC, ESR and serum urate levels Radiographs were taken (refer attached images) What do the radiographs of the foot demonstrate? *This case is from Docplexus editorial team for educative purpose only. Source: 100 cases in Radiology
