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Skeletal Radiology
Published in: Skeletal Radiology 12/2020

01-12-2020 | Edema | Review Article

Hallux sesamoid complex imaging: a practical diagnostic approach

Authors: Charles Lombard, Romain Gillet, Aymeric Rauch, Edouard Germain, Gauthier Dodin, Alain Blum, Pedro Gondim Teixeira

Published in: Skeletal Radiology | Issue 12/2020

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Abstract

A wide variety of pathologies can affect the hallux sesamoid complex of the foot, including traumatic, micro traumatic, degenerative, inflammatory, vascular, infectious, and neoplastic conditions. Symptoms are quite nonspecific, mainly related to pain in the plantar surface of the first metatarsal head. In this context, imaging is important for the etiologic diagnosis of hallux sesamoid complex pathology with implications in patient management. The hallux sesamoid complex has a complex anatomy, and pathologic processes of this region are poorly known of radiologists. Besides, some entities such as “sesamoiditis” remain poorly defined in the literature. Schematically, conditions affecting sesamoids will be divided into two major groups: intrinsic anomalies (sesamoid bone being the center of the pathologic process) and extrinsic anomalies (diseases secondarily involving sesamoid bones). Thus, in this article, after a review of anatomical key points and pathologies affecting the hallux sesamoid complex, a practical multimodality approach for the diagnosis of hallux sesamoid pathologies will be proposed.
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Metadata
Title
Hallux sesamoid complex imaging: a practical diagnostic approach
Authors
Charles Lombard
Romain Gillet
Aymeric Rauch
Edouard Germain
Gauthier Dodin
Alain Blum
Pedro Gondim Teixeira
Publication date
01-12-2020
Publisher
Springer Berlin Heidelberg
Keywords
Edema
Pathology
Published in
Skeletal Radiology / Issue 12/2020
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-020-03507-8

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