Question
Persistent pain with swelling of the forefoot in the area of the 3rd and 4th rays. No trauma.
The X-ray below appears normal. Possibilities include tendinitis, Morton’s neuroma, etc.
Which imaging modality should be used to reach the diagnosis?
ANSWER
MRI: Proximal diaphyseal-metaphyseal junction of the 4th ray: No fracture line, no arthritis, and no soft tissue infiltration.
Metatarsal hallux: Focal sub-capital hyperpressure with new bursopathy.
CONCLUSION = Overall appearance suggestive of static disorders.