Sesamoid Fractures

Wikis > Orthopaedics > Trauma > Fractures > Sesamoid Fractures

Sesamoid Fractures

Most likely due to fall/jump from a height (ie crush, #)  pushes sesamoids into plantar surface of metatarsal head.

Clinical features:
History of trauma;; pain on direct palpation and MPJ motion (especially dorsiflexion);

Differential – bipartite sesamoid (edges usually smooth); sesamoiditis; stress fracture; turf toe; plantar hyperkeratosis

On x-ray – fracture usually divides sesamoid into equal parts; has irregular borders and serrated edges; bone callous formation

If x0ray is not definitive  bone scan, CT or MRI

Cast immobilisation; metatarsal bar; accommodative padding; rigid sole shoe.
After pain reduction  soft cushioning insoles or running shoe
If prolonged pain  surgical excision
Find Weird and Wonderful Books at AbeBooks

We have not yet got to this page to finish it yet. We will eventually. Please contact us if you have something to contribute to it or sign up for our newsletter or like us on Facebook and Instagram or follow us on Twitter.

Page last updated: Jul 27, 2022 @ 10:38 pm

Comments are closed.