Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : TD03 - TD05

Sesamoid Bones in the Soft Tissue of Neck as Incidental Finding on Multidetector Computed Tomography

Gitanjali Khorwal, Rahul Dev, Pankaj Sharma

1. Assistant Professor, Department of Anatomy, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. 2. Assistant Professor, Department of Radiodiagnosis and Imaging, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. 3. Assistant Professor, Department of Radiodiagnosis and Imaging, Delhi State Cancer Institute, New Delhi, India.

Correspondence Address :
Dr. Rahul Dev,
Flat No.5/1, Building No.57, All India Institute of Medical Sciences, Rishikesh Residential Complex,
Rishikesh-249202, Uttarakhand, India.
E-mail: rdev8283@gmail.com

Abstract

Sesamoid ossicles are round to oval small bones, usually seen in relation to tendon of a muscle or a joint with less frequent occurrence at other locations. They are asymptomatic in the vast majority of cases; however, predispose to increased risk of injury. In a few other cases, they may present as a palpable mass accompanied by vague neck pain or stiffness. Rarely, these bony structures can be seen in close relation to ligamentum nuchae or paraspinal muscles and may predispose to pain in the neck. They are known to be stable in size over time and show no evidence of recurrence after surgical excision. Histologically, they are considered fibrocartilagenous tumour formed secondary to fibrocartilagenous metaplasia triggered by localised repetitive trauma or chronic mechanical stress. We report two cases where sesamoid ossicles were detected within the nuchal ligament. Only few cases of this entity lesion have been reported previously.

Keywords

Ligamentum nuchae, Ossicle, Paraspinal

How to cite this article :

Gitanjali Khorwal, Rahul Dev, Pankaj Sharma. SESAMOID BONES IN THE SOFT TISSUE OF NECK AS INCIDENTAL FINDING ON MULTIDETECTOR COMPUTED TOMOGRAPHY. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Aug 14 ]; 12:TD03-TD05. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=TD03-TD05&id=11927

DOI and Others

DOI: 10.7860/JCDR/2018/36663.11927

Date of Submission: Apr 02, 2018
Date of Peer Review: May 25, 2017
Date of Acceptance: Jun 04, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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