Sesamoid fracture

Case contributed by Alborz Jahangiri


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

Patient Data

Age: 35 years
Gender: Female

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


There is a comminuted and predominantly sagittal oriented 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 x-ray.

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