Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 11/2007

01-11-2007 | Scientific Article

Bipartite hallucal sesamoid bones: relationship with hallux valgus and metatarsal index

Authors: Pedro V. Munuera, Gabriel Domínguez, María Reina, Piedad Trujillo

Published in: Skeletal Radiology | Issue 11/2007

Login to get access

Abstract

Objective

The objective was to relate the incidence of the partition of the hallucal sesamoid bones to the size of the first metatarsal and the hallux valgus deformity.

Materials and Methods

In a sample of 474 radiographs, the frequency of appearance of bipartite sesamoids was studied. The length and relative protrusion of the first metatarsal, and the hallux abductus angle, were measured and compared between the feet with and without sesamoid partition.

Results

The results showed that 14.6% of the feet studied had at least one partite sesamoid, that the sesamoid most frequently divided was the medial, and that unilateral partition was the most common. No difference was found in the incidence of partite sesamoids between men and women, or between left and right feet.

Conclusion

Protrusion and length of the first metatarsal are greater in feet with partite sesamoids than in feet without this condition. A significantly higher incidence of bipartite medial sesamoid was obtained in feet with hallux valgus compared with normal feet.
Literature
1.
Sarrafian SK. Anatomy of the foot and ankle: descriptive, topographic, functional, 2nd ed. Philadelphia: Lippincott; 1993.
2.
Jahss MH. The sesamoids of the hallux. Clin Orthop 1981; 157: 88–97.PubMed
3.
Inge GAL, Ferguson AB. Surgery of the sesamoid bones of the great toe. An anatomic and clinical study with a report of forty-one cases. Arch Surg 1933; 27: 466–489.
4.
Weil LS, Hill M. Bipartite tibial sesamoid and hallux abducto valgus deformity: a previously unreported correlation. J Foot Surg 1992; 31: 104–111.PubMed
5.
Yildirim Y, Saygi B. Congenital absence of the lateral sesamoid. J Am Podiatr Med Assoc 2006; 96: 78–81.PubMed
6.
Frankel JP, Harrington J. Symptomatic bipartite sesamoids. J Foot Surg 1990; 29: 318–323.PubMed
7.
Scranton PE, Rutkowski R. Anatomic variations in the first ray. II. Disorders of the sesamoids. Clin Orthop 1980; 151: 256–264.PubMed
8.
Carpintero P, Mesa M, García E, Sánchez G, Carpintero A. Pie cavo y sesamoideo bipartito. Rev Ortop Traum 1991; 35: 177–179.
9.
Hardy RH, Clapham JC. Observations on hallux valgus. J Bone Joint Surg 1951; 33B: 376–391.
10.
Heden RI, Sorto LA. The buckle point and the metatarsal protrusion’s relationship to hallux valgus. J Am Podiatr Assoc 1981; 71: 200–208.
11.
Duke H, Newman LM, Bruskoff BL, Daniels R. Relative metatarsal length patterns in hallux abducto valgus. J Am Podiatr Assoc 1982; 72: 1–5.
12.
Read L. The structural abnormality in hallux valgus: is it the same in all age groups? J Bone Joint Surg 1983; 65B: 367.
13.
Tanaka Y, Takakura Y, Kumai T, Samoto N, Tamai S. Radiographic analysis of hallux valgus. A two-dimensional coordinate system. J Bone Joint Surg 1995; 77A: 205–213.
14.
Bryant A, Tinley P, Singer K. Comparison of radiographic measurements in normal, hallux valgus, and hallux limitus feet. J Foot Ankle Surg 2000; 39: 39–43.PubMedCrossRef
15.
Mancuso JE, Abramow SP, Landsman MJ, Waldman M, Carioscia M. The zero-plus first metatarsal and its relationship to bunion deformity. J Foot Ankle Surg 2003; 42: 319–326.PubMedCrossRef
16.
Soames RW. Sistema esquelético. In: Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ, editors. Anatomía de Gray, vol I, 38th ed. Madrid: Harcourt; 1998: 425–736.
17.
Tachdjian MO. The child’s foot. Philadelphia: Saunders, 1985.
18.
Lelièvre J, Lelièvre JF. Patología del pie, 4th ed. Barcelona: Masson, 1982.
19.
Piqué C, Maled I, Arabi J, Vila J. Radiographic angles in hallux valgus: differences between measurements made manually and with a computerized program. Foot Ankle Int 2006; 27: 175–180.
20.
Nilsonne H. Hallux rigidus and its treatment. Acta Orthop Scand 1930; 1: 295–303.CrossRef
21.
22.
Munuera PV, Domínguez G, Polo J, Rebollo J. Medial deviation of the first metatarsal in incipient hallux valgus deformity. Foot Ankle Int 2006; 27: 1030–1035.PubMed
23.
Munuera PV, Domínguez G, Castillo JM. Radiographic study about the size of the first metatarso-digital segment in feet with hallux limitus in initial phase. J Am Podiatr Med Assoc 2007; (in press).
24.
Tanaka Y, Takakura Y, Takaoka T, Akiyama K, Fujii T, Tamai S. Radiographic analysis of hallux valgus in women on weightbearing and nonweightbearing. Clin Orthop 1997; 336: 186–194.PubMedCrossRef
25.
Coughlin MJ, Saltzman CL, Nunley JA. Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American Orthopaedic Foot and Ankle Society on angular measurements. Foot Ankle Int 2002; 23: 68–74.PubMed
26.
Aseyo D, Nathan H. Hallux sesamoid bones. Anatomical observations with special reference to osteoarthritis and hallux valgus. Int Orthop 1984; 8: 67–73.PubMedCrossRef
27.
Kiter E, Acalla S, Alper Kiliç B, Demirkan F. Distribution of the metatarsophalangeal sesamoids in Turkish subjects. J Am Podiatr Med Assoc 2006; 96: 437–441.PubMed
28.
Kewenter Y. Die Sesambeine des 1. Metatarsophalangealgegenks des Menschen. Acta Orthop Scand 1936; 2 (Suppl.): 1–113.
29.
Dobas DC, Silvers MD. The frequency of partite sesamoids of the first metatarsophalangeal joint. J Am Podiatr Assoc 1977; 67: 880–882.
30.
Rodeo SA, Warren RF, O’Brien SJ, Pavlov H, Barnes R, Hanks GA. Diastasis of bipartite sesamoids of the first metatarsophalangeal joint. Foot Ankle 1993; 14: 425–434.PubMed
31.
32.
García A, Parkes JC. Fracturas del pie. In: Giannestras NJ, editor. Trastornos del Pie. Barcelona: Salvat Editores; 1979: 507–554.
33.
Aper RL, Saltzman CL, Brown TD. The effect of hallux sesamoid resection on the effective moment of the flexor hallucis brevis. Foot Ankle Int 1994; 15: 462–470.PubMed
34.
Michaud TC. Foot orthoses and other forms of conservative foot care. Massachusetts: Williams and Wilkins; 1996.
35.
Iida M, Basmajian JV. Electromyography of hallux valgus. Clin Orthop 1974; 101: 220–224.PubMed
36.
Aper RL, Saltzman CL, Brown TD. The effect of hallux sesamoid excision on the flexor hallucis longus moment arm. Clin Orthop 1996; 325: 209–217.PubMedCrossRef
Metadata
Title
Bipartite hallucal sesamoid bones: relationship with hallux valgus and metatarsal index
Authors
Pedro V. Munuera
Gabriel Domínguez
María Reina
Piedad Trujillo
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 11/2007
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-007-0359-6

Other articles of this Issue 11/2007

Skeletal Radiology 11/2007 Go to the issue

Perspective

Imaging in shoulder disorders

Case Report

The appearance of Mazabraud’s syndrome on 18F-FDG PET/CT

Scientific Article

Evaluation of radial-sequence imaging in detecting acetabular labral tears at hip MR arthrography

Scientific Article

Optimization of b value in diffusion-weighted MRI for the differential diagnosis of benign and malignant vertebral fractures

Browser's Notes

Browser’s notes

Scientific Article

The radiological manifestations of intramuscular haemangiomas in adults: magnetic resonance imaging, computed tomography and ultrasound appearances