November 2008

Submitted by Jose A. Ospina, MD and Jeffrey Dym, MD.

History:

• 42-year-old with enlarged painful second toe.

Question:

Which choice describes the salient X-ray abnormalities?

• Healing fractures
  
• Localized gigantism
  
• Post-traumatic osteoarthritis
  
• Enchondromatosis
  
• Dactylitis
  

                                                                                                Next

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