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Sesamoid disorders and treatment. An update
1Department of Orthopaedics, Kaiser Permanente Hospital, Panorama City, CA 91402.
Clinical Orthopaedics and Related Research
|August 1, 1991
Summary
Hallucal sesamoid management requires individualized care, prioritizing conservative treatments like orthotic insoles. Surgical removal of both sesamoids is contraindicated due to severe deformity risks.
Area of Science:
- Orthopedics
- Podiatry
- Anatomy
Background:
- Hallucal sesamoids are crucial for foot biomechanics.
- Sesamoid disorders can cause significant pain and functional impairment.
Purpose of the Study:
- To review the anatomy, function, and disorders of hallucal sesamoids.
- To outline current diagnostic and management principles for sesamoid conditions.
Main Methods:
- Review of anatomical and clinical literature on hallucal sesamoids.
- Analysis of conservative and surgical treatment strategies.
Main Results:
- Diagnosis and management are patient-specific.
- Conservative treatment, including orthotics with offloading, is the primary approach.
- Surgical outcomes depend on technique; preserving hallucal nerves is vital.
Conclusions:
- Conservative management is the initial treatment of choice for hallucal sesamoid disorders.
- Sesamoidectomy carries risks, and complete removal of both sesamoids is contraindicated due to high risk of clawtoe deformity.