Avascular Necrosis of the Hallucal Sesamoid (Three Cases Report)

족무지 종자골에 발생한 무혈성 골괴사증(3예 보고)

  • Kim, Young-Chang (Department of Orthopaedics, Busan Paik Hospital Inje University College of Medicine) ;
  • Gwak, Heui-Chul (Department of Orthopaedics, Busan Paik Hospital Inje University College of Medicine) ;
  • Kim, Jung-Han (Department of Orthopaedics, Busan Paik Hospital Inje University College of Medicine) ;
  • Moon, Sang-Won (Department of Orthopaedics, Busan Paik Hospital Inje University College of Medicine)
  • 김영창 (인제대학교 의과대학 부산백병원 정형외과) ;
  • 곽희철 (인제대학교 의과대학 부산백병원 정형외과) ;
  • 김정한 (인제대학교 의과대학 부산백병원 정형외과) ;
  • 문상원 (인제대학교 의과대학 부산백병원 정형외과)
  • Published : 2009.12.15

Abstract

Although avascular necrosis of the hallucal sesamoid has not been frequently addressed in the literature, it should be considered in the differential diagnosis of persistent forefoot pain. We experienced 3 cases of avascular necrosis of the hallucal sesamoid with sclerosis of the sesamoid bone on radiograghs and computed tomograghy images. T1 and T2-weighted MRI images in 2 patients showed low signal intensity in the sesamoid bone, which suggested osteonecrosis and confirmed by histology. We report 3 cases of avascular necrosis of sesamoid with a review of the literature.

Keywords

References

  1. Berger JL, LeGeyt MT and Ghobadi R: Incarcerated subhallucal sesamoid of the great toe: irreducible dislocation of the interphalangeal joint of the great toe by an accessory sesamoid bone. Am J Orthop, 26: 226-228, 1997.
  2. Claustre J and Simon L: Aspects de la pathologie sesamoidienne du premier metatarsien. Rev Rhum, 45: 479-486, 1978.
  3. Daum B: Pathologie sesamoidienne. Os sesamoides metatarsophalangiens de l’hallux. In: Bouysset M ed. Le pied en rhumatologie. Paris, Springer-Verlag: 237-243, 1998.
  4. Delagoutte JP and Hoeffel JC: Interet de l’incidence de Walter-Muller dans le syndrome de dysharmonie d’appui des tetes metatarsiennes. Rhumatologie, 28: 151-152, 1976.
  5. Fleischli J and Cheleuitte E: Avascular necrosis of the hallucal sesamoids. J Foot Ankle Surg, 34: 358-365, 1995. https://doi.org/10.1016/S1067-2516(09)80005-7
  6. Oloff LM and Schulhofer SD: Sesamoid complex disorders. Clinics Podiatric Med Surg, 13: 497-513, 1996.
  7. Ozkoc G, Akpinar S, Ozalay M, et al: Hallucal sesamoid osteonecrosis: an overlooked cause of forefoot pain. J Am Podiatr Med Assoc, 95: 277-280, 2005.
  8. Renander A: Two cases of typical osteochondropathy of the medical sesamoid bone of the first metarsal. Acta radiol, 3: 521-527, 1924. https://doi.org/10.3109/00016922409138053
  9. Richardson EG: Hallucal sesamoid pain: causes and surgical treatment. J Am Acad Orthop Surg, 7: 270-278, 1999.
  10. Toussirot E and Jeunet L: Avascular necrosis of the hallucal sesamoids update with reference to two case-reports. Joint Bone Spine, 70: 307-309, 2003. https://doi.org/10.1016/S1297-319X(03)00061-7