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.