• 1

    Richardson EG: Hallucal sesamoid pain: causes and surgical treatment. .J Am Acad Orthop Surg 7::270. ,1999. .

  • 2

    Jahss MH: “Disorders of the Hallux and the First Ray,” in Disorders of the Foot and Ankle: Medical and Surgical Management, 2nd Ed, ed by MH Jahss, p 943, WB Saunders, Philadelphia. ,1991. .

    • PubMed
    • Export Citation
  • 3

    Leventen EO: Sesamoid disorders and treatment: an update. .Clin Orthop 269::236. ,1991. .

  • 4

    Renander A: Two cases of typical osteochondropathy of the medial sesamoid of the first metatarsal. .Acta Radiol 3::521. ,1924. .

  • 5

    Velkes S, Pritsch M, Horoszowski H: Osteochondritis of the first metatarsal sesamoids. .Arch Orthop Trauma Surg 107::369. ,1988. .

  • 6

    Toussirot E, Jeunet L, Michel F, et al: Avascular necrosis of the hallucal sesamoids update with reference to two case-reports. .Joint Bone Spine 70::307. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Bowles JR, Berquist TH: “Foot, Ankle, and Calf,” in MRI of the Musculoskeletal System, 4th Ed, ed by TH Berquist, p 428, Lippincott Williams & Wilkins, Philadelphia. ,2001. .

    • PubMed
    • Export Citation
  • 8

    Stoller DW, Ferkel RD: “The Ankle and Foot,” in Magnetic Resonance Imaging in Orthopedics and Sports Medicine, 2nd Ed, ed by DW Stoller, p 443, Lippincott-Raven, Philadelphia. ,1997. .

    • PubMed
    • Export Citation
  • 9

    Fleischli J, Cheleuitte E: Avascular necrosis of the hallucial sesamoids. .J Foot Ankle Surg 34::358. ,1995. .

  • 10

    Ogata K, Sugioka Y, Urano Y, et al: Idiopathic osteonecrosis of the first metatarsal sesamoid. .Skeletal Radiol 15::141. ,1986. .

  • 11

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

  • 12

    Mullen BR, Kashur K: Primary avascular necrosis of the halluces in a ballet dancer. .JAPMA 76::544. ,1986. .

Hallucal Sesamoid Osteonecrosis

An Overlooked Cause of Forefoot Pain

Gürkan Özkoç Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana and Ankara Medical Centers, Turkey.

Search for other papers by Gürkan Özkoç in
Current site
Google Scholar
PubMed
Close
 MD
,
Sercan Akpinar Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana and Ankara Medical Centers, Turkey.

Search for other papers by Sercan Akpinar in
Current site
Google Scholar
PubMed
Close
 MD
,
Metin Özalay Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana and Ankara Medical Centers, Turkey.

Search for other papers by Metin Özalay in
Current site
Google Scholar
PubMed
Close
 MD
,
Murat Ali Hersekli Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana and Ankara Medical Centers, Turkey.

Search for other papers by Murat Ali Hersekli in
Current site
Google Scholar
PubMed
Close
 MD
,
Ayşin Pourbagher Department of Radiodiagnostics, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey.

Search for other papers by Ayşin Pourbagher in
Current site
Google Scholar
PubMed
Close
 MD
,
Fazilet Kayaselçuk Department of Pathology, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey.

Search for other papers by Fazilet Kayaselçuk in
Current site
Google Scholar
PubMed
Close
 MD
, and
Reha N. Tandogan Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana and Ankara Medical Centers, Turkey.

Search for other papers by Reha N. Tandogan in
Current site
Google Scholar
PubMed
Close
 MD

Four cases of osteonecrosis of hallucal sesamoids are reported here. Surgical excision of necrotic sesamoid tissue yielded satisfactory results, with the patients reporting no residual pain. Although it has not been frequently addressed in the literature, avascular necrosis of the sesamoid bones should be considered in the differential diagnosis of persistent forefoot pain. (J Am Podiatr Med Assoc 95(3): 277–280, 2005)

Corresponding author: Gürkan Özkoç, MD, Başkent Üniversitesi Tip Fakultesi, Adana Uygulama ve Arastirma Merkezi, Dadalo glu Mah. 39. Sok. No: 6, Yüre gir, Adana 01250, Turkey.
Save