MUSCULOSKELETAL IMAGING

Ankle 27

HALLUX VALGUS

FEATURES TO LOOK FOR • Hallux Valgus Angle & Intermetatarsal Angle • 1st Metatarsal rotation (lateralised sesamoid on xray or measure on CT) • Sesamoid subluxation

• Metatarsal adduction • Cartilage damage

HALLUX RIGIDUS

Hallux rigidus is a unique condition and not simply a type of osteoarthritis.

It generally occurs in middle aged runners, or other sports that involve chronic hyperextension.

Most likely it is a chronic overuse injury related to hyperextension. The imaging features are: • an irregular narrowed joint on the frontal radiograph and •

a large dorsal osteophyte visible on the lateral.

Excision of the osteophytes can improve symptoms.