Chronic painful sesamoids of the thumb

Abstract

In patients with persistent localized pain at the level of a sesamoid bone of the thumb not obviously related to trauma, sesamoidectomy gives excellent results. Often no X-ray or histological abnormalities are found, leaving the origin of pain problems still unsolved.

Atraumatic avascular necrosis of an index sesamoid

“…Locking of the proximal interphalangeal index joint was frequently described (Flatt [9], Sweterlitsch and Torg [10] and Bloom and Bryan [11]). Chronic sesamoiditis of the other sesamoids of the feet and thumb (van der Voort and Kon [12] and Parks) were more commonly seen.…”