Hi Guys,
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I have a case which presented last week that I'd like to share, particularly the x-rays which I didn't recognise and was wondering if anyone had any thoughts.
the case as follows;
PP:24 yr old male presented with painful R/foot/ankle
HxPP: Pain has been present since pt was 15 yrs old, no hx of trauma, and no previous investigations/treatment carried out. Pt feels relief when compressing the joint only for pain to return almost immediately.
Med Hx and Meds: unremarkable, occasional Tylenol to help with pain.
ASSESSMENT:
NEURO: WNL
VASC: WNL
DERM: WNL
MSK: R/STJ ROM RESTRICTED (UNABLE TO GET ANY STJ EVERSION, AND R/CALC IN STANCE IS IN VALGUS POSITION)
I suspected a tarsal coalition and referred Pt for X-Ray (see attached images) x-rays I think show a small Talar Beak on lateral view however i'm not sure as to which image (more to the point what angle) im looking at with the 1st image (it says lateral???) but there is an unusual presentation I think.
Anyway not been sent the report just the images (apparently the report just notes a small spur somewhere) my question is am I looking at a Tarsal coalition possibly Calcaneonavicular or is this nothing at all.
I would appreciate any thoughts
regards
Steve
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Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus
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Scar Pain Following Hallux Valgus Surgery
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Degenerative osteoarthritis of the second metatarsophalangeal joint: second toe rigidus
|
Scar Pain Following Hallux Valgus Surgery
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