OCAD MTP arthropathy (MRI) inflammatory or Kohler-Freiberg?

Hi there OCADers,

please help with this one.
50 year old female with persistent pain at the 2nd mtp joint.

MRI shows arthritis with acute inflammation, b.m. edema, effusion and a chronically flattened mt head consistent with xrays 1 year prior (not shown here).

I wonder, is this secondary to Kohler-Freiberg or some chronic arthritis e.g. psoriatic, RA etc. What is your impression?

Cheers,

Andrei

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