Sesamoiditis

NewsBot · Sep 17, 2013

Members do not see these Ads. Sign Up.
Sesamoiditis of the metatarsophalangeal joint
Atiya S, Quah C, Pillai A.
OA Orthopaedics 2013 Sep 09;1(2):19.

Sesamoiditis of the Metatarsophalangeal (MTP) joint is a broad term categorizing a range of pathologies that can be painful and disabling. Running a search on Medline for “Sesamoiditis”, 35 articles were reviewed to be able to establish a common definition for Sesamoiditis and the appropriate treatment and diagnosis in managing this condition. As its definition and categorization is inconsistent throughout the literature available, more clinical data and audits are needed to increase the existing pool of literature in establishing a universal definition. However a high index of suspicion of Sesamoiditis and MRI scan remains the key for diagnosis after any pathology arise in the MTP Joint, as it is an easily missed condition.
Click to expand...

Admin2 · Sep 17, 2013

Related Threads:
Other threads tagged with sesamoiditis
Unusual case: Sesamoid AVN
The biomechanical etiology of sesamoiditis?
Hallux sesamoid fractures
Advice for sesamoiditis surgery
Jones Counterstrain Technique for sesamoiditis
Sesamoiditis and soccer players
Sesamoiditis or not?
Bipartite -v- Fractured Sesamoids
Diagnosing and treating difficult sesamoid pathology
Effects of sesamoidectomy on biomechanics?
Advice needed re: Sesamoid pathology....Dancer

BEN-HUR · Sep 23, 2013

NewsBot said: ↑

Sesamoiditis of the metatarsophalangeal joint
Atiya S, Quah C, Pillai A.
OA Orthopaedics 2013 Sep 09;1(2):19.

Sesamoiditis of the Metatarsophalangeal (MTP) joint is a broad term categorizing a range of pathologies that can be painful and disabling. Running a search on Medline for “Sesamoiditis”, 35 articles were reviewed to be able to establish a common definition for Sesamoiditis and the appropriate treatment and diagnosis in managing this condition. As its definition and categorization is inconsistent throughout the literature available, more clinical data and audits are needed to increase the existing pool of literature in establishing a universal definition. However a high index of suspicion of Sesamoiditis and MRI scan remains the key for diagnosis after any pathology arise in the MTP Joint, as it is an easily missed condition.
Click to expand...

Click to expand...

Admin2 said: ↑

Related Threads:
Other threads tagged with sesamoiditis
Unusual case: Sesamoid AVN
The biomechanical etiology of sesamoiditis?
Hallux sesamoid fractures
Advice for sesamoiditis surgery
Jones Counterstrain Technique for sesamoiditis
Sesamoiditis and soccer players
Sesamoiditis or not?
Bipartite -v- Fractured Sesamoids
Diagnosing and treating difficult sesamoid pathology
Effects of sesamoidectomy on biomechanics?
Advice needed re: Sesamoid pathology....Dancer
Click to expand...

Hence all the more reason why the human foot should be recognised as having 28 (56) bones instead of the often claimed/cited 26 (52) bones (i.e. ignoring those cute Sesamoids)...

... as discussed in the following Pod. Arena thread: Leonardo's Foot: How 10 Toes, 52 Bones, and 66 Muscles Shaped the Human World

NewsBot · Nov 17, 2019

Epidemiological profile of sesamoid disorders of the first metatarsophalangeal joint
Marcelo Rassweiler Hardt et al
Vol 13 No Supl 1 (2019): Proceedings of the 19th Brazilian Ankle and Foot Medicine and Surgery Congress

Introduction: The sesamoid bones are part of the hallux metatarsophalangeal (MTTF) joint complex and are an important factor in the normal biomechanics of gait. Abnormalities of the sesamoid bones are not rare but are often underestimated and include acute fractures, osteochondral lesions, bipartite sesamoids, recurrent traumatic sesamoiditis or infection, in addition to osteoarthritis. Given the lack of recent studies on the epidemiological profile of sesamoid-related diseases, the objective of this study is to identify the epidemiological characteristics of patients with these disorders. Methods: The study was approved by the research ethics committee and registered in the Brazil Platform (Plataforma Brazil). This retrospective study was performed by reviewing the electronic charts of foot and ankle outpatients diagnosed with sesamoiditis and acute or stress fractures between February 1, 2013 and January 31, 2018. The exclusion criterion used was the presence of incomplete records in the electronic chart. The following variables were analyzed: sex, age, occupation, participation in sports, laterality and affected sesamoid bone (medial or lateral). The data collected were tabulated and saved in an Excel spreadsheet and analyzed using descriptive statistics. Results: Data on 108 patients were collected after reviewing the charts. Based on these data, we report the epidemiological characteristics of patients with sesamoid disorders in a sample of orthopedic patients from a reference hospital of the Unified Health System (Sistema Único de Saúde – SUS) in a city in southern Brazil. Among the various occupations reported, the 3 most common were cleaner (29), student (23) and salesperson (16). Among the subjects who participated in sports, only 22 were involved in competitive sports (professional or amateur).
Click to expand...

NewsBot · Apr 20, 2021

Hallux Sesamoid Injury Characteristics in Young Athletes Presented to the Sports Medicine Clinic
Sugimoto, Dai et al
Clinical Journal of Sport Medicine: March 01, 2021

Objective:
To investigate clinical diagnoses, sports participation, and return to sport timeline associated with hallux sesamoid injuries with sex comparisons.

Design:
Descriptive epidemiology study.

Setting:
Sports medicine clinics at a tertiary-level pediatric medical center.

Patients:
Six hundred eighty-three young athletes (546 women and 137 men).

Independent Variables:
Sex (women vs men).

Main Outcome Measures:
Clinical diagnoses, participating sports, and injury timeline.

Results:
The most common diagnosis was sesamoiditis (62.6%). The top 3 primary sports were dance (34.6%), running (13.7%), and soccer (11.7%). When stratified by sex, dance (40.1%), running (13.6%), and soccer (10.7%) were the top primary sports for women while running (19.4%), soccer (18.5%), and basketball (11.3%) were the leading diagnoses for male athletes. The mean time between injury occurrence and first clinic visit was 135.5 ± 229.3 days. The mean time between the first clinic visit and return to sport was 104.3 ± 128.2 days. Comparison by sex showed that women had a longer mean time than men (women: 111.5 ± 132.5 days, men: 67.2 ± 96.3 days, P = 0.001). The mean time from injury occurrence to return to sport was 235.2 ± 281.0 days. Women showed a longer mean timeline for return to sport compared with men (women: 245.2 ± 288.2 days, men: 179.3 ± 231.9 days, P = 0.014).

Conclusion:
Sesamoiditis was the most common diagnosis, and dance, running, and soccer were top 3 sports. The most salient finding was that women taking almost twice as long to return the sport or activity compared with men, which likely stems from delay of reporting symptom onset to clinics.
Click to expand...

NewsBot · Aug 14, 2022

Painful Hallux Sesamoid: A Pictorial Review
Ankur Shah Drushi Patel
Source

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.
Click to expand...

NewsBot · Aug 29, 2022

The Effect of Foot Deformity and First Metatarsophalangeal Joint Plantar Pain on Performance in DanceSport Athletes
Zijian Liu et al
Children (Basel). 2022 Aug 4;9(8):1169

Background: Adolescent DanceSport athletes who regularly dance in high heels have a higher possibility of developing hallux valgus deformity and foot pain. We believe that the occurrence of foot disorders may change the loading on their feet, which thus affects the athletic performance of those adolescents.

Methods: A total of 63 adolescent DanceSport athletes (16 boys, 47 girls) were included. The plantar pain in the first metatarsophalangeal (1st MTP) joint was evaluated using a questionnaire, and the hallux valgus angle was evaluated using digital photographs (HVAp). The loading values of the plantar pressure while performing relève on demi-pointe were measured using sensor sheets. The participating boys and girls were analyzed separately.

Results: The results showed that female adolescent DanceSport athletes with the 1st MTP joint plantar pain showed a decrease in the loading distribution and plantar pressure percentage on the hallux and an increased loading distribution and pressure distribution of the metatarsal head as the HVAp increased.

Conclusion: Among adolescent DanceSport athletes with plantar pain in the 1st MTP joint and a large HVAp, the loading manner of the foot may have changed, which may be associated with a decrease in the toe function and performance.
Click to expand...

NewsBot · Apr 27, 2023

The Assessment and Management of Sesamoiditis in
Aotearoa New Zealand
Preeti Kaur
Thesis 2023

Background
Sesamoiditis is a common inflammatory condition affecting the sesamoid bones at the
plantar aspect of the first metatarsophalangeal joint. Sesamoiditis causes pain and
major physical limitations for patients, particularly during the propulsive phase of gait
(toe-off). Podiatrists play an important role in the assessment and management of
patients with sesamoiditis. However, there are currently no recommended objective
clinical tests that should be considered when assessing and diagnosing sesamoiditis
and there are no podiatry-specific guidelines on the management of sesamoiditis. The
aims of this study were (1) to explore the views of Aotearoa New Zealand podiatrists
on their approaches to assessment and diagnosis of sesamoiditis; and (2) to explore
the views of Aotearoa New Zealand podiatrists on their approaches to management of
sesamoiditis.
Methods
This qualitative study involved focus group discussions with New Zealand registered
podiatrists. Focus groups took place online via zoom and were guided by a detailed
focus group interview schedule. Questions were designed to promote discussion
around assessment approaches used in the diagnosis of sesamoiditis and the
treatment tools used to manage patients with sesamoiditis. Focus groups were audiorecorded and transcribed verbatim. Reflexive thematic analysis was used to analyse
the data.
Results
A total of 12 registered podiatrists participated in one of four focus groups. Four
themes were constructed relating to the assessment and diagnosis of sesamoiditis: (1)
obtaining a patient history; (2) recreating patient symptoms; (3) determining
contributing biomechanical factors; and (4) ruling out differential diagnoses. Seven
themes were constructed relating to the management of sesamoiditis: (1)
consideration of patient factors; (2) patient education; (3) cushioning of the sesamoids
to allow more comfortable weightbearing of the 1st MTPJ; (4) pressure redistribution
and offloading of the sesamoids; (5) immobilisation of the 1st MTPJ and sesamoids; (6)
facilitating efficient sagittal plane motion during gait; (7) managing patients who don’t
respond to podiatry treatment.
Conclusion
Despite the absence of any clear recommendations and guidelines on the assessment
and management of sesamoiditis, the findings from this study have highlighted that
podiatrists in Aotearoa New Zealand demonstrate an advanced analytical approach
based on thorough clinical reasoning when caring for patients with sesamoiditis. The
results from this study provide an increased understanding of current assessment and
management practices used by podiatrists which is an important step in the
development of recommendations that help guide podiatric assessment and
management of sesamoiditis.
Click to expand...

NewsBot · May 19, 2023

The assessment and management of sesamoiditis: a focus group study of podiatrists in Aotearoa New Zealand
Preeti Kaur, Matthew R Carroll & Sarah Stewart
Journal of Foot and Ankle Research volume 16, Article number: 29 (2023)

Background
Sesamoiditis is a common inflammatory condition affecting the sesamoid bones at the plantar aspect of the first metatarsophalangeal joint (1MTPJ). However, there are currently no recommendations or clinical guidelines to support podiatrists in their assessment or management of sesamoiditis. The aim of this study was to explore the views of podiatrists in Aotearoa New Zealand on their approaches to the assessment and management of patients with sesamoiditis.

Methods
This qualitative study included focus group discussions with registered podiatrists. Focus groups took place online via Zoom and were guided by a detailed focus group question schedule. The questions were designed to encourage discussion around assessment approaches used in the diagnosis of sesamoiditis and the treatment tools used to manage patients with sesamoiditis. Focus groups were audio-recorded and transcribed verbatim. Reflexive thematic analysis was used to analyse the data.

Results
A total of 12 registered podiatrists participated in one of three focus groups. Four themes were constructed relating to the assessment of sesamoiditis: (1) obtaining a patient history; (2) recreating patient symptoms; (3) determining contributing biomechanical factors; and (4) ruling out differential diagnoses. Seven themes were constructed relating to the management of sesamoiditis: (1) consideration of patient factors; (2) patient education; (3) cushioning of the sesamoids to allow more comfortable weightbearing of the 1MTPJ; (4) pressure redistribution and offloading of the sesamoids; (5) immobilisation of the 1MTPJ and sesamoids; (6) facilitating efficient sagittal plane motion during gait; (7) referring to other health professionals to find different ways to treat or manage patient symptoms.

Conclusion
Podiatrists in Aotearoa New Zealand demonstrate an analytical approach in the assessment and management of patients with sesamoiditis based on their clinical experience and knowledge of lower limb anatomy. A range of assessment and management techniques are selected based on the practitioners personal preferences, as well as the patient’s social factors, symptomology, and lower limb biomechanics.
Click to expand...

NewsBot · Jul 13, 2023

A Rare Case of Exostosis of the Medial Sesamoid Bone
Nimra Akram et al
J Orthop Case Rep. 2023 Jun; 13(6): 25–28.

Introduction:
Exostoses in the foot and ankle are extremely rare with no current literature of exostosis of the sesamoid bone.

Case Report:
A middle-aged woman was referred to orthopedic foot surgeons following a long-standing issue of a painful non-fluctuant swelling beneath her left hallux with normal imaging. Repeat X-rays, with sesamoid views of the foot, were conducted due to the patient’s ongoing symptoms. The patient underwent a surgical excision and made a complete recovery. The patient is now able to comfortably walk for longer distances with no restrictions to her mobility.

Conclusion:
Conservative management should be initially trialed to preserve the foot’s functions and limit the risk of surgical complications. As in this case, when surgical options are explored, it is critical to preserve as much of the sesamoid bone as possible to restore and sustain function.
Click to expand...

NewsBot · Jul 24, 2023

Hallucal sesamoiditis on a bipartite sesamoid bone: An uncommon cause of chronic great toe pain
Najwa Benslima et al
Radiology Case Reports
Volume 18, Issue 9, September 2023, Pages 3357-3360

The pathologies and lesions affecting the sesamoid bones of the hallux are uncommon and can be easily overlooked. Among them, sesamoiditis is a relatively rare condition known to cause severe great toe pain; lack of awareness of this particular entity leads to misdiagnosis, delayed treatment, and contributes to significant morbidity. Herein, we present a chronic sesamoiditis case occurring on a medial bipartite sesamoid bone, presenting as chronic great toe pain. The main purpose of this work is to discuss the role of magnetic resonance imaging and X-rays in the diagnosis process. To the best of our knowledge, no cases of great toe sesamoiditis occurring on a bipartite bone in no-athletic patients have yet been reported.
Click to expand...

NewsBot · Oct 10, 2023

Hallux valgus: The Influence of Inter-sesamoid Crista's Osteoarthritis on Frontal Plane Pronation
Sérgio Soares et al
J Foot Ankle Surg. 2023 Oct 6

A frontal plane metatarsal rotational (pronation) has been documented in a high percentage of hallux valgus patients. Pathoanatomical concepts leading to pronation are still debated. Nevertheless, there is no consensus on how to measure this component of the deformity. The aim of the present study was to find potential associations between sesamoid's crista osteoarthritis and the frontal plane deformity in HV cases. Our study showed a moderate correlation between the crista's OA and the intermetatarsal angle (IMA), the hallux valgus angle (HVA) and the alpha angle. In severe hallux vulgus deformed specimens, with an eroded inter-sesamoid crista, frontal plane pronation was not as prevalent nor severe as in those without osteoarthritic degeneration. Severe hallux valgus cases with a completely eroded crista, showed lower pronation, and higher IMA, when compared to specimens with a preserved anatomy. This brings to light the inter-sesamoid crista's unique function in retaining the IMA. Understanding the role the frontal plane plays in hallux valgus' biomechanics and in its radiographic appearance is vital to change the current paradigm.
Click to expand...

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

BEN-HUR Well-Known Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Marrow Edema of Distal Phalynx and Sesamoiditis

Patient With Chronic Sesamoiditis

Chronic Sesamoiditis - not sure where else to turn.

Questions related to sesamoiditis/ sesamoidectomy

Subhallucal interphalangeal sesamoiditis

Lessor metatarsal sesamoiditis

Steroid injection for sesamoiditis

Share This Page