Document Detail


Avascular necrosis of the hallucal sesamoids update with reference to two case-reports.
MedLine Citation:
PMID:  12951318     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report two cases of nontraumatic metatarsal pain with sclerosis and fragmentation of the lateral sesamoid bone on roentgenographs and computed tomography images. One patient underwent magnetic resonance imaging (MRI), which showed low signal from the sesamoid bone. These imaging findings suggested osteonecrosis. Histology of the sesamoidectomy specimen confirmed this diagnosis in one patient. Avascular necrosis of the metatarsal sesamoid is an uncommon disorder. The suggestive roentgenographic and MRI findings rule out the other painful conditions of the sesamoid bone. The features are reviewed and the treatment options discussed.
Authors:
Eric Toussirot; Laurent Jeunet; Fabrice Michel; Bernadette Kantelip; Daniel Wendling
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Joint, bone, spine : revue du rhumatisme     Volume:  70     ISSN:  1297-319X     ISO Abbreviation:  Joint Bone Spine     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-09-02     Completed Date:  2004-01-06     Revised Date:  2006-10-11    
Medline Journal Info:
Nlm Unique ID:  100938016     Medline TA:  Joint Bone Spine     Country:  France    
Other Details:
Languages:  eng     Pagination:  307-9     Citation Subset:  IM    
Affiliation:
Rheumatology department, CHU Hôpital Jean-Minjoz, boulevard Fleming, 25030 Besançon, cedex, France. eric.toussirot@ufc-chu.univ-fcomte.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Crutches
Female
Hallux*
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Osteonecrosis / pathology*,  radiography,  therapy
Sesamoid Bones / pathology*,  radiography,  surgery
Tomography, X-Ray Computed

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