Toes (sesamoid view)
Citation, DOI, disclosures and article data
Citation:
Murphy A, Yap J, Er A, et al. Toes (sesamoid view). Reference article, Radiopaedia.org (Accessed on 09 Mar 2025) https://doi.org/10.53347/rID-58723
rID:
58723
Article created:
Disclosures:
At the time the article was created Andrew Murphy had no recorded disclosures.
View Andrew Murphy's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Joshua Yap had no financial relationships to ineligible companies to disclose.
View Joshua Yap's current disclosures
Revisions:
5 times, by
4 contributors -
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Sections:
The sesamoid view of the toes is a specialized view examining the sesamoid bones of the first metatarsal.
On this page:
Indications
This view provides a better profile of any fractures or dislocation of the sesamoid bones with their articulation at the first metatarsophalangeal joint 1.
Patient position
- the patient may be supine or sitting upright with their leg straighten on the table
- the foot is in dorsiflexion
- the toes pulled back toward the patient
Technical factors
- axial projection
-
centering point
- the base of the first metatarsal
-
collimation
- laterally to the extent of the base of the first metatarsal
- anteriorly mid distal first metatarsal
- posterior to the skin margin
-
orientation
- portrait
-
detector size
- 24 cm x 30 cm
-
exposure
- 50-60 kVp
- 3-5 mAs
-
SID
- 100 cm
-
grid
- no
Image technical evaluation
- both the sesamoid bones are free from any superimposition
Practical points
Seldom requested, however technically simple to perform, offer the patient tape/string to help pull the toes back.
References
- 1. Painful sesamoid of the great toe. (2014) World Journal of Orthopedics. 5 (2): 146. doi:10.5312/wjo.v5.i2.146 - Pubmed
- 2. John Lampignano, Leslie E. Kendrick. Bontrager's Textbook of Radiographic Positioning and Related Anatomy. (2017) ISBN: 9780323399661
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