• 1

    Inge GA, Ferguson AB: Surgery of the sesamoid bones of the great toe. .Arch Surg 27::466. ,1933. .

  • 2

    DeLuca FN, Kenmore PI: Bilateral dorsal dislocations of the metatarsophalangeal joints of the great toes with a loose body in one of the metatarsophalangeal joints. .J Trauma 15::737. ,1975. .

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  • 3

    Abraham M, Sage R, Lorenz M: Tibial and fibular sesamoid fractures on the same metatarsal: a review of two cases. .J Foot Surg 28::308. ,1989. .

  • 4

    Julsrud ME: Osteonecrosis of the tibial and fibular sesamoids in an aerobics instructor. .J Foot Ankle Surg 36::31. ,1997. .

  • 5

    Hulkko A, Orava S: Diagnosis and treatment of delayed and non-union stress fractures in athletes. .Ann Chir Gynaecol 80::177. ,1991. .

  • 6

    Orava A, Hulkko A: Delayed unions and nonunions of stress fractures in athletes. .Am J Sports Med 16::378. ,1988. .

  • 7

    Richardson EG: Injuries to the hallucal sesamoids in the athlete. .Foot Ankle 7::229. ,1987. .

  • 8

    Siegel N, Cutler S: Fractured tibial sesamoids: a case report and clinical review. .JAPA 66::702. ,1976. .

  • 9

    Konkel KF, Muehlstein JH: Unusual fracture-dislocation of the great toe: case report. .J Trauma 15::733. ,1975. .

  • 10

    Aper RL, Saltzman CL, Brown TD: The effect of hallux sesamoid excision on the flexor hallucis longus moment arm. .Clin Orthop 325::209. ,1996. .

  • 11

    Anderson RB, McBryde AM, Jr: Autogenous bone grafting of hallux sesamoid nonunions. .Foot Ankle Int 18::293. ,1997. .

  • 12

    Jahss MH: Traumatic dislocations of the first metatarsophalangeal joint. .Foot Ankle 1::15. ,1980. .

Internal Fixation of a Displaced Tibial Sesamoid Fracture

Jay Riley Associate, American College of Foot and Ankle Surgeons; Kaiser Permanente Orthopedics Department, 5601 DeSoto Ave, Woodland Hills, CA 91365.

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Marc Selner Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; private practice, Studio City, CA.

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The authors present a surgical technique for the preservation and repair of an acutely fractured sesamoid using internal fixation of the sesamoid. A case report demonstrating the technique for the open reduction and internal fixation of a fractured tibial sesamoid is presented. The authors recommend this procedure as a viable alternative to surgical excision of the tibial sesamoid. The use of the procedure as an adjunct for the surgical treatment of recalcitrant traumatic sesamoiditis is also discussed. (J Am Podiatr Med Assoc 91(10): 536-539, 2001)