Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
Online Publication Date:
Apr 1991

Sesamoidectomy for the treatment of chronic neuropathic ulcerations

JM Giurini Department of Surgery, Harvard Medical School, New England Deaconess Hospital, Boston.

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JS Chrzan Department of Surgery, Harvard Medical School, New England Deaconess Hospital, Boston.

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GW Gibbons Department of Surgery, Harvard Medical School, New England Deaconess Hospital, Boston.

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GM Habershaw Department of Surgery, Harvard Medical School, New England Deaconess Hospital, Boston.

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DOI:
https://doi.org/10.7547/87507315-81-4-167
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Neuropathic ulcerations in diabetic patients are frequent causes of hospitalizations and morbidity. The plantar aspect of the first metatarsophalangeal joint is a common location for these ulcerations, because of the significant weightbearing forces generated through this joint and the presence of sensory and motor neuropathy. The authors describe 24 cases in which excision of the tibial sesamoid, fibular sesamoid, or both, was performed to resolve these lesions.

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