Subhallucal Interphalangeal Sesamoiditis: A Rare Cause of Chronic Great Toe Pain
Published: May 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.5870
Sandeep Kumar, Rajagopal Kadavigere, Radha Puppala, Anurag Ayachit, Ruchika Singh
1. Assistant Professor, Department of Radiology, Kasturba Medical College, Manipal University, Manipal, India.
2. Professor, Department of Radiology, Kasturba Medical College, Manipal University, Manipal, India.
3. Junior Resident, Department of Radiology, Kasturba Medical College, Manipal University, Manipal, India.
4. Associate Professor, Department of Radiology, Kasturba Medical College, Manipal University, Manipal, India.
5. Junior Resident, Department of Radiology, Kasturba Medical College, Manipal University, Manipal, India.
Correspondence
Dr. Sandeep Kumar,
Assistant Professor, Department of Radiodiagnosis, Kasturba Medical College, Manipal, Karnataka-576104, India.
E-mail: drsandeepkumarradiologist@gmail.com
Subhallucal interphalangeal sesamoiditis presenting as chronic great toe pain is a rarely reported clinical entity, being often overlooked and misdiagnosed for other pathologies. By altering the biomechanics of the movements at great toe, the interphalangeal sesamoid is prone to various painful pathologies like trauma, infection, degeneration, osteonecrosis and inflammation. Imaging plays an important role in narrowing down the differentials and guiding for appropriate therapy. Herein, we present a neglected case of hallucal interphalangeal sesamoiditis presenting as a case of chronic great toe pain and discuss the role of Magnetic resonance imaging (MRI) and Computed tomography (CT) scan in its diagnosis.
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