Sesamoid fracture
Diagnosis certain
Updates to Case Attributes
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Sesamoid fractures are uncommon, and may be mistaken for a simply bipartite sesamoid. The radiographic appearance in this case suggests fracture, as the fracture fragments are not corticated along the fracture line,together together would be nearly exactly the same size as the medial sesamoid, andthe freacturefracture line is anteroposteriorly oriented instead of transverslytransversely. The history of trauma with pain specifically at this point should suggest the diagnosis as well. It may also be helpfullhelpful to note that bipartite sesamoids are more common at the medial sesamoid, and therefore a bipartitlebipartite lateral sesamoid should raise the level of suspicion in equivocal cases.
-<p>Sesamoid fractures are uncommon, and may be mistaken for a simply <a href="/articles/multipartite-hallux-sesamoid">bipartite sesamoid</a>. The radiographic appearance in this case suggests fracture, as the fracture fragments are not corticated along the fracture line, <span style="line-height:1.6em">together would be nearly exactly the same size as the medial sesamoid, and </span><span style="line-height:1.6em">the freacture line is anteroposteriorly oriented instead of transversly. The history of trauma with pain specifically at this point should suggest the diagnosis as well. It may also be helpfull to note that bipartite sesamoids are more common at the medial sesamoid, and therefore a bipartitle lateral sesamoid should raise the level of suspicion in equivocal cases.</span></p>- +<p>Sesamoid fractures are uncommon, and may be mistaken for a simply <a href="/articles/multipartite-hallux-sesamoid">bipartite sesamoid</a>. The radiographic appearance in this case suggests fracture, as the fracture fragments are not corticated along the fracture line, together would be nearly exactly the same size as the medial sesamoid, and the fracture line is anteroposteriorly oriented instead of transversely. The history of trauma with pain specifically at this point should suggest the diagnosis as well. It may also be helpful to note that bipartite sesamoids are more common at the medial sesamoid, and therefore a bipartite lateral sesamoid should raise the level of suspicion in equivocal cases.</p>