Presentation
Foot pain over 1st metatarsal head
Patient Data
Age: 12 years
Gender: Male
From the case:
Sesamoiditis - hallux sesamoid
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Medial sesamoid is slightly sclerotic (arrow) and irregular in shape.
Medial great sesamoid is also bipartite (arrow) as is the lateral.
From the case:
Sesamoiditis - hallux sesamoid
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Bone marrow edema in the medial sesamoid (arrow in axial). Bipartite medial great sesamoid with bone marrow edema on either side of the syndesmosis.
Minor soft tissue edema overlying the sesamoid (arrow in sagittal).
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.