http://www.podiatrytoday.com/addressing-myths-and-misconceptions-about-hallux-rigidus
Coughlin and Shurmas Classification:
Grade 0: normal radiograph; no pain; mild decrease on range of motion; as low as 40o dorsiflexion
Grade 1: osteophytes; no joint space narrowing; as low as 30o dorsiflexion
Grade 2: <25% joint space narrowing; as low as 10o dorsiflexion
Grade 3: >25% joint space narrowing; no pain; as low as 10o dorsiflexion
Grade 4: >25% joint space narrowing; pain; as low as 10o dorsiflexion
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