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Hello

I am really wondering about the patho-mechanics for sesamoiditis.

Based on many textbook, there are a variety of etiologies which may contribute on sesamoiditis, eg., plantar-flexed 1st-ray, rigid fore-foot valgus deformity, pes clavus or pes planus., etc.

I tried to find out any journal articles to know the pathomechanics for sesamoiditis caused by biomechanical abnormalities, but most ot journals seems 'review or case-studies', rather than 'cohort or systematic reviews'.

Could anyone help me find out the relevant journal articles about the patho-mechanics/etiology for sesamoiditis? Any suggestions/advices? I really appreciated them.

Regards
Guinue

 

Intuitively, one would associate sesamoiditis with uncompensated varus deformities (are we allowed to say that these days?). To me, again intuitively, this would explain to me why medial (tibial) sesamoiditis is so much more common than lateral. Whether this correlates closely with "Pes Cavus", I leave that to others.

 

etiology- increased Ground reaction Force under the seasmoids

So will be N=1 as to the cause

 

When I saw the thread title I was wondering if there was going to be a debate between high amount of ground reaction force under the first metatarsal head versus high tensile loads in the plantar fascia caused by a large amount of force under the first met head and hallux. If you look at the foot types that you listed, you will see a tendency toward foot types that have high force sub first met head. However, the problem with looking at foot types, is that not all feet in that type will have high load on the first met head.

Eric