Presentation
Foot pain over 1st metatarsal head.
Patient Data
Age: 55 years
Gender: Female
From the case:
Medial hallux sesamoiditis
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medial hallux sesamoid displays normal bone marrow signal at T1 WI and high bone marrow signal due to edema on PD fat suppression sequences
bone marrow edema along with the first metatarsal head on the medial side
no fragmentation or collapse
Case Discussion
Sesamoiditis is an inflammatory condition involving the sesamoid bones, usually a diagnosis of exclusion once other causes for sesamoid pain have been excluded. In the recent case despite the fact that the fat suppression images showed inhomogeneity, the clinical exam was inclined to sesamoiditis because of pain over the plantar aspect of the first metatarsal head.
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