Hallux rigidus (first MTP osteoarthritis) on X‑ray: 5 real cases

Real, openly licensed radiographs showing hallux rigidus (first mtp osteoarthritis). Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • Joint space narrowing of the first metatarsophalangeal joint.
  • Dorsal osteophytes on the first metatarsal head, best seen on the lateral view.
  • Subchondral sclerosis and cysts; alignment is often preserved (unlike hallux valgus).

Learn: Osteoarthritis

Quiz yourself on bone & joint disease images

Cases

Radiograph from the case bank: Hallux rigidus (first MTP osteoarthritis)Case #48407447Bone & joint disease · IntermediateRadiograph from the case bank: Hallux rigidus (first MTP osteoarthritis)Case #105448936Bone & joint disease · IntermediateRadiograph from the case bank: Hallux rigidus (first MTP osteoarthritis)Case #105610628Bone & joint disease · IntermediateRadiograph from the case bank: Hallux rigidus (first MTP osteoarthritis)Case #132319338Bone & joint disease · IntermediateRadiograph from the case bank: Hallux rigidus (first MTP osteoarthritis)Case #145835713Bone & joint disease · Intermediate

Other bone & joint disease diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.