3-4 days free worldwide delivery

Subhallucal Interphalangeal Sesamoiditis: A Rare Cause of Chronic Great Toe Pain

by MASS4D® Prescription Orthotics January 02, 2017

Abstracts

This study focused on a neglected case of hallucal interphalangeal sesamoiditis presenting as a case of chronic great toe pain; the role of Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scan in its diagnosis was discussed.

A 49-year-old man complained of having pain in his right forefoot for five years, predominantly over the plantar aspect of the hallux, in the region of the interphalangeal joint.

A bus driver by occupation, he complained of this pain worsening during application of breaks while driving.

Previous MRI scans, dating back to 3 years, were reported to be normal.

Physical examination of the patient revealed mild antalgic gait.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


A clinical examination revealed severe tenderness and discomfort on palpation over the first interphalangeal joint at the plantar aspect of the proximal phalanx with no obvious swelling or redness.

Plain radiograph of foot revealed a small bone fragment at the plantar aspect of the head of proximal phalanx.

MRI revealed a smooth-edged and well corticated triangular ossicle embedded superficially within the tendon of flexor hallucis longus on the plantar aspect of interphalangeal joint of great toe with bone remodelling in the form of exaggerated concavity of the adjacent head of proximal phalanx of great toe.

Fat suppressed short tau inversion sequences revealed marrow oedema within the sesamoid bone.

Physiological fluid was seen in interphalangeal and metatarsophalangeal joints of great toe.

Correlated Computed Tomography (CT) confirmed the location and smooth margins of the subhallucal sesamoid bone.

Based on the clinical and imaging findings, a diagnosis of hallucal interphalangeal sesamoiditis was made.

Often, lack of awareness of this particular entity leads to misdiagnosis, delayed treatment and contributes to significant morbidity.

The condition is usually treated conservatively and surgery is reserved for intractable cases.

Copyright 2017 MASS4D® All rights reserved. 


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


References:

  1. Sandeep Kumar, Rajagopal Kadavigere, Radha Puppala, Anurag Ayachit, Ruchika Singh (2015) Subhallucal Interphalangeal Sesamoiditis: A Rare Cause of Chronic Great Toe Pain. Journal of Clinical and Diagnostic Research: May 2015, Vol. 9, No. 5, pp. TD01-TDO2, DOI: 10.7860/JCDR/2015/13210.5870

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Abstracts
Prevention of Diabetic Foot Complications

by MASS4D® Prescription Orthotics November 13, 2018

This paper aimed to discuss the importance of prevention and the authors’ protocol for prevention – in the form of education and foot screening – and to review the existing evidence in the literature regarding the effectiveness of the preventive approach.

Read More

Abstracts
Foot Disorders, Foot Posture, and Foot Function: The Framingham Foot Study

by MASS4D® Prescription Orthotics November 04, 2018

The purpose of this study was to assess the relation between foot disorders, and foot posture and function in a population-based sample of adults.

Read More

Abstract
Potential for foot dysfunction and plantar fasciitis according to the shape of the foot arch in young adults

by MASS4D® Prescription Orthotics October 30, 2018

This study aimed to verify the potential for functional abnormality of the foot and plantar fasciitis among people with flat feet.

Read More