Sesamoiditis - hallux sesamoid

Case contributed by Dr Chris O'Donnell


Foot pain over 1st metatarsal head

Patient Data

Age: 12 years
Gender: Male

Medial sesamoid is slightly sclerotic (arrow) and irregular in shape. 

Medial great sesamoid is also bipartite (arrow) as is the lateral.


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 sesmoid (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.

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Case information

rID: 16740
Published: 16th Feb 2012
Last edited: 28th Sep 2019
Inclusion in quiz mode: Included

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