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. 2016 Mar 22;1(3):58–64. doi: 10.1302/2058-5241.1.000015

Fig. 1.

Fig. 1

Indirect signs of first ray insufficiency include: a) osteoarthritis of the second tarso-metatarsal joint, and b) fatigue fracture of the second metatarsal. Other indirect signs are hypertrophy of the second metatarsal and dislocation of the lesser MTP joints.