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CC BY-NC-ND 4.0 · Indographics 2022; 01(01): 110-115
DOI: 10.1055/s-0042-1742579
Review Article

Painful Hallux Sesamoid: A Pictorial Review

Ankur Shah
1   Department of Radiology, Sadbhav Imaging Centre, Ahmedabad, Gujarat, India
,
Drushi Patel
2   Department of Radiology, Gujarat Imaging Centre, Samved Hospital, Ahmedabad, Gujarat, India
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Abstract

Sesamoids are small bony structures that are either partially or completely embedded in a tendon. Sesamoid bones are found at multiple places in body but most common sites are in foot, with the most consistent location being the metatarsophalangeal joint of great toe. Various pathologies affecting the sesamoid bones of hallux can be a cause of long-standing forefoot pain and discomfort. Imaging helps in diagnosis of these conditions at an early stage. Imaging also helps in differentiating these pathologies from normal variants like bipartite sesamoid bone.

Keywords

avascular necrosis - bipartite - great toe - hallux sesamoid - sesamoiditis


Publication History

Article published online:
19 September 2023

© 2022. Indographics. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Coskun N, Yuksel M, Cevener M. et al. Incidence of accessory ossicles and sesamoid bones in the feet: a radiographic study of the Turkish subjects. Surg Radiol Anat 2009; 31: 19
    CrossrefPubMedGoogle Scholar
  • 2 Nwawka OK, Hayashi D, Diaz LE. et al. Sesamoids and accessory ossicles of the foot: anatomical variability and related pathology. Insights Imaging 2013; 4: 581-593
    CrossrefPubMedGoogle Scholar
  • 3 Kadakia AR, Molloy A. Current concepts review: traumatic disorders of the first metatarsophalangeal joint and sesamoid complex. Foot Ankle Int 2011; 32 (08) 834-839
    CrossrefPubMedGoogle Scholar
  • 4 Yang RH, Chu YK. Hallucal sesamoiditis manifested on bone scan. Clin Nucl Med 2013; 38 (12) 1019-1021
    CrossrefPubMedGoogle Scholar
  • 5 Miller TT. Painful accessory bones of the foot. Semin Musculoskelet Radiol 2002; 6: 153-161
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Cohen BE. Hallux sesamoid disorders. Foot Ankle Clin 2009; 14 (01) 91-104
    CrossrefPubMedGoogle Scholar
  • 7 Jahss MH. The sesamoids of the hallux. Clin Orthop Relat Res 1981; (157) 88-97
    CrossrefPubMedGoogle Scholar
  • 8 Srinivasan R. The hallucal-sesamoid complex: normal anatomy, imaging, and pathology. Semin Musculoskelet Radiol 2016; 20 (02) 224-232
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Munuera PV, Domínguez G, Reina M, Trujillo P. Bipartite hallucal sesamoid bones: relationship with hallux valgus and metatarsal index. Skeletal Radiol 2007; 36: 1043-1050
    CrossrefPubMedGoogle Scholar
  • 10 Scranton Jr PE, Rutkowski R. Anatomic variations in the first ray: part II. Disorders of the sesamoids. Clin Orthop Relat Res 1980; 256-264
    PubMedGoogle Scholar
  • 11 Sims AL, Kurup HV. Painful sesamoid of the great toe. World J Orthop 2014; 5 (02) 146-150
    CrossrefPubMedGoogle Scholar
  • 12 Schein AJ, Skalski MR, Patel DB. et al. Turf toe and sesamoiditis: what the radiologist needs to know. Clin Imaging 2015; 39 (03) 380-389
    CrossrefPubMedGoogle Scholar
  • 13 Toussirot E, Jeunet L, Michel F, Kantelip B, Wendling D. Avascular necrosis of the hallucal sesamoids update with reference to two case-reports. Joint Bone Spine 2003; 70 (04) 307-309
    CrossrefPubMedGoogle Scholar
  • 14 Bartosiak K, McCormick JJ. Avascular necrosis of the sesamoids. Foot Ankle Clin 2019; 24 (01) 57-67
    CrossrefPubMedGoogle Scholar
  • 15 Resnick D, Niwayama G, Feingold ML. The sesamoid bones of the hands and feet: participators in arthritis. Radiology 1977; 123 (01) 57-62
    CrossrefPubMedGoogle Scholar