Diagnosis and treatment of First Metatarsophalangeal Joint Disorders. Section 4: Sesamoid disorders

Utility of 99m Tc-MDP SPECT-CT for the diagnosis of sesamoiditis as cause of metatarsalgia

“…[38] These conditions are often caused by repetitive stress, and correcting any abnormal biomechanical influences is the key to long-term success. This correction can be done in a variety of ways including modification of activity, custom-modified orthoses, gel inserts under the sesamoids, a metatarsal bar, or an OrthoWedge shoe.…”

“…The patient underwent a change of footwear and used specifically advised shoes having insoles with sesamoid protective padding. [3] Pain was much relieved at three months follow-up.…”

“…[13] The pain of sesamoiditis maybe a dull aching type or a sharp throbbing type of pain, usually of insidious onset, and may prevent the patient from walking. It maybe over one or both the sesamoids, although the medial one is involved more frequently.…”