this is a 59-year-old woman who presents to my office on a y | Figure 1

this is a 59-year-old woman who presents to my office on a yearly basis for diabetic foot health screening. Recent visit for acute onset of pain and swelling involving her left foot. There is decreased sensation from her diabetic neuropathy. I think this is a good educational case for those who are not familiar with the process. The x-rays were taken in 2015, 2017, and 2018. What do you see and how would you treat it?

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