Bunion Pain: Medially on the Bump or Laterally in the Joint

This is an AP Foot Xray with highlighting of the big toe joint. The metatarsal head is rounded and the toe has slipped off the joint on the side of the 2nd toe. This is very painful. The soft tissue on the lateral side (2nd toe side) is pinched and causes pain called capsulitis. Treatment is partially accomplished with toe separators and bunion taping to straighten the toe. 

This same xray shows that the joint dislocation is measured at 4 mm. This patient was in for a 2nd opinion following failed bunion surgery. Failed from the standpoint that 3 years after the first bunion surgery, the bump is coming back and pain is settling into the joint with activity. 

In this xray the numbers do not mean anything. I wanted another way of showing that 4 mm  dislocation of the toe on the metatarsal head. This patient did great with toe separators to push the big toe medially back onto the top of the normal part of the joint.