Ossification timeline of sesamoid bones at metatarsophalangeal joints

Sun, Tao; Li, Qian; Wang, Qianqian; Hou, Xizhi; Zhao, Haitao; Niu, Mengjing; Zhang, Ting; Wu, Wenjuan

doi:10.1007/s12565-020-00556-w

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Partite sesamoids occur in 4% to 35% of patients, and there is a higher prevalence of partite medial sesamoids. 7 The first ray includes the first metatarsal, the first metatarsocuneiform joint, the medial cuneiform, and the medial naviculocuneiform joint. Ground reaction forces are transmitted from the first metatarsal head to the ankle through the medial column.…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

“…6 They have multiple ossification centers; these centers typically begin to ossify around the age of 8 years. 7 Bi or multipartite sesamoids can result from the failure of two or more ossification centers to coalesce. Partite sesamoids occur in 4% to 35% of patients, and there is a higher prevalence of partite medial sesamoids.…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

“…Partite sesamoids occur in 4% to 35% of patients, and there is a higher prevalence of partite medial sesamoids. 7…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

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Assessment and Management of Atraumatic First Metatarsophalangeal Joint Pain

Drago¹,

Nazaroff²,

Britton³

et al. 2023

J Am Acad Orthop Surg

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Nontraumatic pain in the first metatarsophalangeal joint is frequent and can be debilitating. The metatarsophalangeal joint complex comprises four articulating surfaces including the first metatarsal, the proximal phalanx, and tibial and fibular sesamoids, which are all contained within a synovial capsule. The most common causes of pain are hallux valgus and hallux rigidus. However, other diagnoses, such as functional hallux limitus, sesamoiditis, gout, and inflammatory autoimmune arthritis, need to be considered as well. A systematic approach is key to accurately diagnose the source of pain, which can sometimes be the result of more than one condition. The most important clinical information to obtain is a focused history, meticulous clinical examination based on understanding the precise anatomy and biomechanics of the first metatarsophalangeal joint, and analysis of the relevant imaging. Each pathology has a different treatment algorithm, as such, understanding the pathoanatomy and biomechanics is important in forming an effective treatment plan.

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Section: Anatomy and Biomechanicsmentioning

confidence: 99%

Section: Anatomy and Biomechanicsmentioning

confidence: 99%