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hello all-

I am not a podiatrist but a clinical researcher trying to understand a case of 36 yo avid runner (>45 mi/week) complaining of sharp pain on the top of her first metatarsel near joint. She has no pain upon palpation on the dorsal side of toe near sesamoids, no swelling nor redness. Pain on top of metatarsel joint mostly when walking. Right foot xray suggested sesamoid fracture. Left foot image obtained for comparison. Appears patient has bilaterial bipartite medial sesamoids but seeking input from podiatry experts on this forum.

Both images in the attached document.

thank you in advance
L-