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great toe sesamoid

Kenichiro Nakajima
Arthroscopic treatments for the first metatarsophalangeal joint have not spread fully owing to a number of factors. First, in the common arthroscopic view, the joint is observed from above, which makes the structures difficult to grasp and the dorsal aspect of the joint difficult to visualize and treat. Second, techniques for widening the view have not yet been reported. Third, the portals necessary for observation and treatment with hallux sesamoids have not yet been established. Finally, techniques for detecting the sesamoids have not been previously reported...
March 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Bon San Koo, Yoonah Song, Seunghun Lee, Yoon-Kyoung Sung, Il-Hoon Sung, Jae-Bum Jun
We previously reported that digital tomosynthesis (DTS) is a reliable tool for evaluating bony structures of the hand. The current study aimed to identify the prevalence and distribution of sesamoid bones and accessory ossicles of the foot using DTS and to compare the results to those of conventional radiography (CR). Foot images (DTS, 213; CR, 44) of 213 patients taken at a tertiary hospital were retrospectively reviewed. Sesamoid bones were identified in the metatarsaophalangeal (MTP), distal interphalangeal (DIP) and interphalangeal (IP) joints of the great (I), second (II), third (III), fourth (IV), and fifth (V) toes...
July 16, 2017: Clinical Anatomy
G A J Robertson, J S Goffin, A M Wood
Introduction: This review aims to provide information on return rates and times to sport following stress fractures of the great toe sesamoids (SFGTSs). Sources of data: A systematic search of CINAHAL, Cochrane, EMBASE, Google Scholar, Medline, PEDro, Scopus, SPORTDiscus and Web of Science was performed using the keywords 'stress', 'fractures', 'great', 'toe', 'sesamoid', 'athletes', 'sports', 'non-operative', 'conservative', 'operative' and 'return to sport'. Areas of agreement: Fourteen studies were included: three studies reported on the outcome of conservatively-managed SFGTSs; thirteen studies reported on the outcome of surgically-managed SFGTSs...
June 1, 2017: British Medical Bulletin
Greg A J Robertson, Alexander M Wood
Stress fractures in sport are becoming increasing more common, comprising up to 10% of all of sporting injuries. Around 90% of such injuries are located in the lower limb. This articles aims to define the optimal management of lower limb stress fractures in the athlete, with a view to maximise return rates and minimise return times to sport. Treatment planning of this condition is specific to the location of the injury. However, there remains a clear division of stress fractures by "high" and "low" risk. "Low risk" stress fractures are those with a low probability of fracture propagation, delayed union, or non-union, and so can be managed reliably with rest and exercise limitation...
March 18, 2017: World Journal of Orthopedics
Philip J York, Frank B Wydra, Kenneth J Hunt
PURPOSE OF REVIEW: Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. RECENT FINDINGS: Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics...
March 2017: Current Reviews in Musculoskeletal Medicine
Kelly C McInnis, Lindsay N Ramey
Stress fractures are common overuse injuries in athletes. They occur during periods of increased training without adequate rest, disrupting normal bone reparative mechanisms. There are a host of intrinsic and extrinsic factors, including biochemical and biomechanical, that put athletes at risk. In most stress fractures, the diagnosis is primarily clinical, with imaging indicated at times, and management focused on symptom-free relative rest with advancement of activity as tolerated. Overall, stress fractures in athletes have an excellent prognosis for return to sport, with little risk of complication...
March 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Takaaki Ohmori, Shinichi Katsuo, Chiaki Sunayama, Katsunori Mizuno, Tomohiro Ojima, Kotaro Yamakado, Tomonari Ando, Shin Watanabe, Seigaku Hayashi, Hiroyuki Tsuchiya
INTRODUCTION: Great toe dislocation frequently occurs at the metatarsophalangeal joint. However, an irreducible dislocation of the great toe interphalangeal (IP) joint due to an accessory sesamoid bone is relatively unusual. CASE REPORT: A 23-year-old woman suffered a dislocated IP joint of the left great toe. The distal phalanx was plantar subluxated, and the articular surface was misaligned. Ultrasound, magnetic resonance imaging, and computed tomography images did not indicate any factors inhibiting reduction...
April 2016: Archives of Orthopaedic and Trauma Surgery
Sandeep Kumar, Rajagopal Kadavigere, Radha Puppala, Anurag Ayachit, Ruchika Singh
Subhallucal interphalangeal sesamoiditis presenting as chronic great toe pain is a rarely reported clinical entity, being often overlooked and misdiagnosed for other pathologies. By altering the biomechanics of the movements at great toe, the interphalangeal sesamoid is prone to various painful pathologies like trauma, infection, degeneration, osteonecrosis and inflammation. Imaging plays an important role in narrowing down the differentials and guiding for appropriate therapy. Herein, we present a neglected case of hallucal interphalangeal sesamoiditis presenting as a case of chronic great toe pain and discuss the role of Magnetic resonance imaging (MRI) and Computed tomography (CT) scan in its diagnosis...
May 2015: Journal of Clinical and Diagnostic Research: JCDR
Hamid Rahmatullah Bin Abd Razak, Zi-Yang Chia, Hwee-Chye Andrew Tan
Irreducible dorsal dislocation of the interphalangeal (IP) joint of the great toe is rare. We report a case of a 29-year-old gentleman who presented to the Orthopaedic Surgery Specialist Outpatient Clinic with an irreducible IP joint of the great toe that had been untreated for 4 weeks. The mechanism of injury is believed to be a combination of axial loading with a hyperdorsiflexion force when the patient fell foot first into a drain. As the patient did not report severe symptoms and a true lateral radiograph was not ordered, the dislocation was missed initially at the emergency department...
2015: Case Reports in Orthopedics
Mark C Drakos, Russell Fiore, Conor Murphy, Christopher W DiGiovanni
OBJECTIVE: To present 3 cases of plantar-plate rupture and turf-toe injury in contact athletes at 1 university and to discuss appropriate diagnosis and treatment algorithms for each case. BACKGROUND: Turf toe is a common injury in athletes participating in outdoor cutting sports. However, it has been used as an umbrella term to describe many different injuries of the great toe. In some cases, the injury can be so severe that the plantar plate and sesamoid apparatus may be ruptured...
May 2015: Journal of Athletic Training
Ulrich Koller, Madeleine Willegger, Reinhard Windhager, Axel Wanivenhaus, Hans-Joerg Trnka, Reinhard Schuh
Due to the pathoanatomical changes in hallux valgus feet, the plantar flexion moment of the first metatarsophalangeal joint is reduced. Therefore, load bearing of the hallux is decreased during push-off. We assessed loading parameters in hallux valgus feet. Based on dorsal-plantar weight bearing radiographs of 61 feet, the intermetatarsal-, hallux valgus-, distal metatarsal articulation-angle, and sesamoid position were evaluated. Plantar pressure assessment was performed with the emed® system during level walking...
December 2014: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
Alex L Sims, Harish V Kurup
The painful sesamoid can be a chronic and disabling problem and isolating the cause can be far from straightforward. There are a number of forefoot pathologies that can present similarly to sesmoid pathologies and likewise identifying the particular cause of sesamoid pain can be challenging. Modern imaging techniques can be helpful. This article reviews the anatomy, development and morphological variability present in the sesamoids of the great toe. We review evidence on approach to history, diagnosis and investigation of sesamoid pain...
April 18, 2014: World Journal of Orthopedics
Job N Doornberg, Ingri L Postma, Peter A A Struijs
A 20-year-old student came to our Emergency Department with a dislocated great toe with interposition of the sesamoid bone on the plantair side of the proximal phalanx (Miki Type 2 dislocation). Attempts of closed reduction at the Emergency Room were unsuccessful and open reduction and K-wire fixation was performed.
2014: Nederlands Tijdschrift Voor Geneeskunde
Gianluca Del Rossi
As a variably occurring sesamoid, the hallucal interphalangeal sesamoid can significantly alter the biomechanics of the great toe. With modifications to the way the great toe functions, there are pathologies that inevitably arise. These pathologies can be quite serious and debilitating. While clinicians may take a conservative approach to treatment and focus on alleviating the symptoms, the physically active patient who desires to return to competitive participation may benefit most by having the source of the pathology removed altogether...
December 2003: Journal of Sports Science & Medicine
S Claerhoudt, E H J Bergman, J H Saunders
This study describes a detailed computed tomographic reference of the normal equine foot. Ten forefeet of five adult cadavers, without evidence of orthopaedic disease, were used. Computed tomography (CT) was performed on all feet. Two-millimetre thick transverse slices were obtained, and sagittal and dorsal planes were reformatted. The CT images were matched with the corresponding anatomic slices. The phalanges and the distal sesamoid bone showed excellent detail. The extensor and flexor tendons (including their attachments) could be clearly evaluated...
October 2014: Anatomia, Histologia, Embryologia
Rong-Hsin Yang, Yum-Kung Chu
The first metatarsal articulation bears one third of the weight of the forefoot. The hallucal sesamoids are embedded in the flexor hallucis brevis and connected by the intersesamoid ligament and plantar plate. The sesamoid apparatus acts as a pulley to help pull the big toe down against the ground during walking. Repetitive pressure, force, or tension can cause sesamoiditis. If the impact is great enough, the bones can break. Here we present a woman with big toe pain during walking. Our case highlights the role of 99mTc-MDP bone scan in reaching the diagnosis of hallucal sesamoiditis...
December 2013: Clinical Nuclear Medicine
Jesse F Doty, Michael J Coughlin
Turf toe injury typically describes an injury to the metatarsosesamoid complex of the hallux generally caused by a hyperextension force to the great toe. This injury may be accompanied by pain, deformity, and decreased athletic performance. Operative treatment to repair the damaged tissue can be difficult, and we present a technique description that may help simplify the surgical reconstruction.
December 2013: Foot & Ankle Specialist
Athanasios Badekas, Dimitrios Georgiannos, Vasilios Lampridis, Ilias Bisbinas
PURPOSE: Hallux valgus is a complex deformity of the first metatarsophalangeal joint, with varus angulation of the first metatarsal, valgus deviation of the great toe and lateral displacement of the sesamoids and the extensor tendons. The aim of the surgery is to achieve correction of the varus deviation of the 1st metatarsal which is considered by some as the primary intrinsic predisposing factor to hallux valgus deformity. METHODS: We retrospectively reviewed 85 patients (107 feet) who underwent an opening wedge osteotomy of the 1st metatarsal for correction of moderate to severe hallux valgus and metatarsus primus varus...
September 2013: International Orthopaedics
R A Fuhrmann, T Pillukat
OBJECTIVE: Fusion of the first metatarsophalangeal joint and realignment of the great toe in patients with painful arthritis to achieve pain-free walking. INDICATIONS: Hallux rigidus grade 3/4, hallux valgus et rigidus, claw toe deformity of the great toe, salvage after endoprosthesis or cheilectomy, avascular necrosis of the first metatarsal head arthritis of the first metatarsophalangeal joint. CONTRAINDICATIONS: Infection, painful arthritis of the interphanageal joint (relative contraindication), and severe osteoporosis (relative contraindication)...
November 2012: Operative Orthopädie und Traumatologie
Robby Singh Sikka, Thomas Hunkele, Eric Sugarman, Mark S Myerson, Gary B Fetzer, Joel L Boyd
No abstract text is available yet for this article.
September 2012: Foot & Ankle International
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