Proximally, there is a rather loose attachment just proximal to the articular cartilage of the head of the metatarsal. Ultrasound pathology Intra-articular pathology Effusion and synovitis There is an increasing trend for early and more aggressive treatment of synovitis with disease-modifying anti-rheumatic drugs (DMARDs), which may demonstrate benefit when prescribed even within weeks to months of the onset of disease [ 9 ].
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