Female 70 years old Reason: L great toe infection, r/o osteomyelitis History: As above TENDONS: Flexor and extensor tendons are intact.LIGAMENTS: The Lisfranc ligament is intact.ARTICULAR SURFACES AND BONE: There is cortical destruction and marrow replacement involving the tuft of the great toe. This involves the anterior 50% of the tuft. The cortical defect is along its medial and inferior aspects. Edema type signal extends through the remainder of the tuft and the nailbed.Osteoarthritis affects the bones of the midfoot and the tarsometatarsal joints.There is a moderate hallux valgus deformity with associated osteoarthritic changes at the first MTP joint. There is subluxation of the sesamoid bones laterally.Degenerative arthritic changes are present at the midfoot. No joint effusion. ADDITIONAL
Findings of acute osteomyelitis involving the tuft of the first digit