Sesamoid fracture

Case contributed by Dr Alborz Jahangiri

Presentation

Pain around the first metatarsophalangeal joint for 3 weeks after a trauma.

Patient Data

Age: 35
Gender: Female
X-ray

There is a vertical lucent line through the lateral sesamoid bone suggestive of fracture.

CT

There is a comminuted and predominantly sagittal orientated fracture line through the proximal body of the lateral sesamoid bone. The fracture line is irregular and it appears to have sclerotic margins suggesting subacute fracture.

Case Discussion

Sesamoid fractures are not common and can be mistaken with bipartite sesamoid on plain xray.

 

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Case information

rID: 47172
Case created: 3rd Aug 2016
Last edited: 3rd Aug 2016
Inclusion in quiz mode: Included

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