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Hallucal Sesamoid Osteonecrosis

An Overlooked Cause of Forefoot Pain

Gürkan Özkoç, MD ^*, Sercan Akpinar, MD ^*, Metin Özalay, MD ^*, Murat Ali Hersekli, MD ^*, Ayin Pourbagher, MD , Fazilet Kayaselçuk, MD  and Reha N. Tandogan, MD ^*

^* Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana and Ankara Medical Centers, Turkey.
Department of Radiodiagnostics, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey.
Department of Pathology, Baskent University School of Medicine, Adana Medical Center, Adana, Turkey.

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

Abstract

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)