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Case of the Week
   
An 83-year-old woman presents for treatment of a painful second toe deformity. The hallux, the bunion, and the third toe are not painful. A fixed crossover toe deformity is present (Slide), with a dislocation of the second metatarsophalangeal joint noted radiographically. Which procedure is likely to give the patient rapid pain relief:
(A)   Arthrodesis of the hallux metatarsophalangeal joint and resection arthroplasty of the second proximal interphalangeal joint
(B)   Osteotomy of the second toe and metatarsal
(C)   Shortening osteotomies of the second and third metatarsals and interphalangeal arthroplasty
(D)   Amputation of the second toe at the metatarsophalangeal joint
(E)   Resection arthroplasty of the hallux metatarsophalangeal joint
 

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