Lateral hallux sesamoid avascular necrosis

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Chronic forefoot pain from 2 months ago.

Patient Data

Age: 35 years
Gender: Male

Sesamoid view confirms the lateral hallux sesamoid sclerosis, fragmentation and mild collapse in keeping with avascular necrosis. 

Abnormal bone marrow signal and the mild collapse of the lateral hallux sesamoid bone is related to sesamoid bone avascular necrosis.

Case Discussion

Avascular necrosis of the hallux sesamoids can be an overlooked cause of medial forefoot pain.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.