Two sesamoid bones: the larger tibial (medial) sesamoid and fibular (lateral) sesamoid
Located on the plantar side of the 1st metatarsophalangeal (MTP) joint, just proximal to the metata...
Gradual onset of pain on the plantar surface of the 1st hallux
Pain with dorsiflexion or weight-bearing 1
Unilateral symptoms are typical.
Pain typically is located at the medial sesamoi...
Sesamoiditis or stress fracture/nonunion:
Initially, conservative therapy is recommended for at least 4 to 6 wk 1,5,6[A]:
Relative rest with immobilization by offloading the 1st MTP complex wi...
Custom orthotics ± cutouts for the sesamoid bones 3
Short-leg walking cast can be considered for recalcitrant cases 1.
Corticosteroid injection into the sesamoid area can be considered with...
Medial sesamoid is injured most commonly.
Acute fractures are almost exclusively unilateral.
Bilateral bipartite sesamoids are usually benign.
Tenderness over the sesamoids or pain with d...
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