Sesamoiditis

Question 1

Definition

Answer 1

• refers to pain under the 1st MPJ joint

- Medial sesamoid frequently damaged

Question 2

Causes

Answer 2

• Trauma or overuse injury often leading to stress fracture

- Seen often in runners that impact at forefoot

Question 3

Anatomy

Answer 3

-Sesamoids are imbedded in FHB, function is too absorb weight, assist with windlass and protect FHL

Question 4

Diagnosis

Answer 4

• What is MOA acute or repetitive stress
• palpation in area
• Failure to accept load
• pain worse when barefoot

Question 5

Treatment

Answer 5

• NSAID, ICE and rest for inflammation
• offloading, Wing pad to offload pressure away from sesamoids
• 1st Ray cut out
• approx, 6 weeks in boot