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

Kumar, Sandeep; Kadavigere, Rajagopal; Puppala, Radha; Ayachit, Anurag; Singh, Rohit

doi:10.7860/jcdr/2015/13210.5870

Cited by 3 publications

(6 citation statements)

References 6 publications

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“…This condition can result in several different clinical presentations including painful plantar callosities [ 6 , 7 ], inflammation of the ossicle and/or FHL tendon [ 8 , 15 ], and irreducible IPJ dislocation due to the interposition of the ossicle [ 10 , 11 ]. However, to our knowledge, stenosing tenosynovitis of the FHL by the plantar capsular accessory ossicle presenting with limited IPJ flexion has not been previously reported.…”

Section: Discussionmentioning

confidence: 99%

“…Because they are small, oval, rough, and convex in shape, their contours on radiographs often are obscured by the opacity of the phalanges [ 12 , 13 , 15 ]. Ultrasonography and MRI are both useful tools for detecting small cartilaginous nodules that cannot be detected with radiography [ 8 , 15 ]. However, ultrasound is superior to MRI in that it can provide dynamic anatomical information of both the ossicle and FHL tendon.…”

Section: Discussionmentioning

confidence: 99%

“…Portions of the general population have a plantar capsular accessory ossicle at the interphalangeal joint (IPJ) of the great toe [ 1 – 5 ]. Although usually asymptomatic, this accessory ossicle sometimes becomes troublesome, causing painful plantar callosities [ 6 , 7 ], inflammation of the ossicle [ 8 ], inflammation of the flexor hallucis longus (FHL) tendon [ 9 ], or irreducible interphalangeal joint dislocation due to its interposition [ 10 , 11 ]. In cases that do not respond to conservative treatment, surgery may be the best treatment option.…”

Section: Introductionmentioning

confidence: 99%

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Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe

Chang

Matsumoto

Naito

et al. 2017

Case Reports in Orthopedics

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This report presents a case of stenosing tenosynovitis of the flexor hallucis longus tendon associated with the plantar capsular accessory ossicle at the interphalangeal joint of the great toe, which was confirmed by intraoperative observation and was successfully treated with surgical resection of the ossicle. As the plantar capsular accessory ossicle was not visible radiographically due to the lack of ossification, ultrasonography was helpful for diagnosing this disorder.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe

Chang

Matsumoto

Naito

et al. 2017

Case Reports in Orthopedics

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“…En lo referente al diagnóstico, coincidimos con Moroni 6 en la idoneidad del examen ecográfi co para el estudio de estas estructuras, ya que permite la identifi cación de elementos no osifi cados, como ha sido en este caso. La otra prueba de interés sería una resonancia magnética que permite una caracterización muy precisa de los tejidos presentes en la zona y permitiría además distinguir daños óseos que en una ecografía difícilmente observaríamos 7 .…”

Section: Discussionunclassified

Resolución quirúrgica de un sesamoideo interfalángico del hallux

Sanz¹,

Gómez²

2022

Rev. Esp. Pod.

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Este es un artículo Open Access bajo la licencia CC Reconocimiento 4.0 Internacional (www.creativecommons.org/licenses/by/4.0/). ResumenEl sesamoideo interfalángico del hallux es una variante anatómica común que, en muchos casos, puede suscitar patología a nivel plantar de la articulación interfalángica. Presentamos el caso de una paciente de sexo femenino que consulta por dolor constante a este nivel en el hallux del pie izquierdo de más de dos años de evolución y sin respuesta alguna a tratamiento conservador, dificultando la deambulación y el uso de calzado convencional. Describimos el procedimiento quirúrgico para su extirpación, junto con una revisión de la literatura sobre la prevalencia y las diferentes alternativas terapéuticas en esta patología.

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“…simptoma i/ili RTG nalaz koji ukazuje na razvoj komplikacija (produženo cijeljenje, nesrastao prijelom, loše srastao prijelom...) to je trenutak kada trebamo pristupiti naprednoj slikovnoj dijagnostici, a potom u skladu s dobivenim nalazom donijeti odluku o nastavku liječenja. Za refraktorne sezamoiditise na raspolaganju imamo kortikosteroidne injekcije ili, u krajnjoj liniji, sezamoidektomiju, a kod kompliciranih prijeloma najčešće pristupamo perkutanom fiksacijom vijkom ili sezamoidektomijom 2,11 . Treba naglasiti da s obzirom na slabiju prokrvljenost u području sezamoidnog aparata razvoj komplikacija nije rijedak, te da pacijente treba pažljivo pratiti.…”

Section: Literaturaunclassified

Differential-diagnostic approach to sesamoid injuries of foot: case report

2018

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Sažetak. Cilj: Sezamoidni koštano-tetivni kompleks stopala sastoji se od dviju sezamoidnih kostiju -medijalne i lateralne. Kada dođe do njihove ozljede, diferencijalna dijagnoza uglavnom se svodi na onu između frakture i sezamoiditisa. U kliničkoj praksi problem stvara razlikovanje između frakture i sezamoiditisa bipartitne sezamoidne kosti, koja je normalna anatomska varijanta u 7 -30 % ljudi iz opće populacije. Cilj je prikazati slučaj pacijenta s naglo nastalim sezamoidnim bolom koji se javio za vrijeme igranja nogometne utakmice. Prikaz slučaja: 27-godišnji muškarac došao je zbog bola u području palca desnog stopala koji je osjetio za vrijeme nogometne utakmice, 24 sata pred prijam. Bol nije mogao povezati s nekim specifičnim događajem za vrijeme igre, nije pretrpio direktni udarac u stopalo. Kliničkim pregledom u području glave prve metatarzalne kosti plantarno su nađeni minimalni otok i crvenilo. Osjećao je bol na palpaciju i pasivnu dorzifleksiju. Rendgenskim (RTG) snimanjem desnog stopala postavila se sumnja na bipartitnu medijalnu sezamoidnu kost združenu sa sezamoiditisom, ali se zbog dvojbenog nalaza nije isključila diferencijalna dijagnoza frakture. Pacijentu je ordinirana standardna konzervativna terapija, te ga se pratilo na redovitim tjednim kontrolama. Nakon 2 tjedna simptomi su se povukli, a kontrolnim RTG snimkama potvrđena je dijagnoza sezamoiditisa bipartitne kosti. Nakon 6 tjedana pacijent se vratio sportskim aktivnostima. Zaključak: Kada imamo dvojbenu situaciju, sezamoidnim ozljedama najbolje je pristupiti konzervativnom terapijom te nastaviti redovite kontrole pacijenta. Praćenjem kliničkog tijeka i komparacijom kontrolnog RTG-a uspostavlja se konačna dijagnoza. U slučaju persistencije bola i/ili kontrolnog RTG-a koji upućuje na komplikacije treba pristupiti naprednoj slikovnoj dijagnostici te u skladu s nalazom odlučiti o eventualnoj invazivnoj terapiji. Sezamoidne ozljede se u većini slučajeva mogu lako izliječiti, ali postavljanje pogrešne dijagnoze može voditi u nepotrebne komplikacije.Ključne riječi: diferencijalna dijagnoza; sezamoidne kosti; stopalo Abstract. Introduction: The sesamoidal skeletal-tendon complex of the foot consists of two sesamoidal bones -medial and lateral. When their injury occurs, differential diagnosis is usually limited to the fracture and sesamoiditis. In clinical practice, the problem creates a distinction between fracture and sesamoiditis of bipartite sesamoid bone, which is a normal anatomical variant in 7-30% of people in the general population. The aim is to present a patient with acute sesamoid pain, which occured during a soccer match. Case report: The 27-year-old male came due to the pain in the right toe area, which he felt during the soccer match, 24 hours before the admission. He could not associate the pain with any specific event during the game, denying a direct impact on the foot. During the clinical examination there was a discreet swelling and hyperemia in the area of the first metatarsal head. The pain was aggravated on palpation and passiv...

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

Cited by 3 publications

References 6 publications

Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe

Stenosing Tenosynovitis of the Flexor Hallucis Longus Tendon Associated with the Plantar Capsular Accessory Ossicle at the Interphalangeal Joint of the Great Toe

Resolución quirúrgica de un sesamoideo interfalángico del hallux

Differential-diagnostic approach to sesamoid injuries of foot: case report

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