This study focused on a neglected case of hallucal interphalangeal sesamoiditis presenting as a case of chronic great toe pain; the role of Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scan in its diagnosis was discussed.
A 49-year-old man complained of having pain in his right forefoot for five years, predominantly over the plantar aspect of the hallux, in the region of the interphalangeal joint.
A bus driver by occupation, he complained of this pain worsening during application of breaks while driving.
Previous MRI scans, dating back to 3 years, were reported to be normal.
Physical examination of the patient revealed mild antalgic gait.
A clinical examination revealed severe tenderness and discomfort on palpation over the first interphalangeal joint at the plantar aspect of the proximal phalanx with no obvious swelling or redness.
Plain radiograph of foot revealed a small bone fragment at the plantar aspect of the head of proximal phalanx.
MRI revealed a smooth-edged and well corticated triangular ossicle embedded superficially within the tendon of flexor hallucis longus on the plantar aspect of interphalangeal joint of great toe with bone remodelling in the form of exaggerated concavity of the adjacent head of proximal phalanx of great toe.
Fat suppressed short tau inversion sequences revealed marrow oedema within the sesamoid bone.
Physiological fluid was seen in interphalangeal and metatarsophalangeal joints of great toe.
Correlated Computed Tomography (CT) confirmed the location and smooth margins of the subhallucal sesamoid bone.
Based on the clinical and imaging findings, a diagnosis of hallucal interphalangeal sesamoiditis was made.
Often, lack of awareness of this particular entity leads to misdiagnosis, delayed treatment and contributes to significant morbidity.
The condition is usually treated conservatively and surgery is reserved for intractable cases.
Copyright 2017 MASS4D® All rights reserved.
Rehabilitation of Your Foot and Lower Back Conditions.
Long Lasting Wear
Strong Foot Support
Easy to use
Handmade MASS4D® Quality
Sign up for free recommended foot exercises, stretching, medical news and everything good for your feet
Please have a a look at our medical reviews and clinical articles on everything about lower biomechanics.
You should always seek the advice of a physician or other qualified healthcare provider with any questions regarding personal health or medical conditions.
The content, products and services offered herein, are here to educate consumers on healthcare and medical issues that may affect their daily lives. Nothing in the content, products or services should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional healthcare advice, diagnosis or treatment.
The marks "MASS4D" and the MASS4D logo are trademarks. The content and design of MASS4D.com is protected by U.S. and international copyright laws. You may not copy, reproduce, republish, upload, post, display, transmit or frame any of these materials without prior written consent from MASS4D®.
The content, products or services on this site should not be considered or used as a substitute for medical advice, diagnosis or treatment and is not intended to provide individual medical advice. Included materials and conversations do not imply a personalised doctor-patient relationship.
Copyright and Intellectual property
MASS4D® is owned and operated by Scheibye General Trading LLC - Licence no: 853463
MASS4D® and Logo are registered trademarks of MASS4D Inc. All content, trademarks, artwork, and associated imagery are trademarks and/or copyright material of MASS4D® Inc.