Ortho Dx: Foot pain for 10 years

A patient, aged 54 years, presented to the office with right foot pain for approximately 10 years. The pain had worsened and the patient was unable to participate in martial arts because of it.

On physical exam, the patient had enlargement of the first metatarsophalangeal (MTP) joint, right greater than the left. The patient had significant pain with passive ...