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Endgames Spot Diagnosis

An unusual case of a painful big toe

BMJ 2015; 351 doi: (Published 25 August 2015) Cite this as: BMJ 2015;351:h4533
  1. Tun Hing Lui, consultant1,
  2. Kwok Fai Tam, consultant2
  1. 1Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China
  2. 2Department of Radiology, North District Hospital, Hong Kong
  1. Correspondence to: T H Lui

A 70 year old woman presented because of pain in her right big toe for 10 years. Clinically, there was bony prominence over the condyle of the proximal phalanx (fig 1). Radiography showed cortical thickening with encroachment of the medullary cavity, prominent coarse trabecular markings, and osseous expansion in the proximal …

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