Sesamoid disorders

Question 1

What are some key subjective findings

Answer 1

-History of Trauma
-Acute or insidious onset
-Isolated problem or associated with 1st MTPJ pathology

Question 2

What are some significant findings

Answer 2

-Swelling, dislocation
-Pain on 1st MPJ ROM
-Localized Pain on Weight Bearing

Question 3

What are some radiographic findings

Answer 3

Rule out
-fracture, avascular necrosis, Arthritic changes

Question 4

What is the initial treatment of Sesamoiditis

Answer 4

-Offloading (load management, footwear modification, orthotics, casting, walker)
-Slow return to activity