Subhallucal Interphalangeal Sesamoiditis
: A Rare Cause of Chronic Great Toe Pain.
Additional indications treated were grouped as ankle tendonitis, sesamoiditis
, metatarsalgia, delayed union/ non-unions, neuromas, and other.
The canine conditions shown to improve with ESWT include osteoarthritis, hip and elbow dysplasia, chronic back pain, osteochondrosis lesions, sesamoiditis
(degeneration of small bones in the foot that causes persistent lameness, especially in racing Greyhounds and Rottweilers), tendon injuries, lick granulomas, cruciate ligament injuries, nonunion or delayed-healing bone fractures, and painful scar tissue.
Diagnoses were categorized according to anatomical site affected and type of lesion, as follows: desmitis, tendonitis, bone reaction (sesamoiditis
, pedal osteitis, navicular disease, and the distal interphalangeal osteoarthritis), joint disease (articular osteoarthritis), fracture, muscle injury (stretch), others (abscess, laminitis, low back pain or wounds).
Singh, "Subhallucal interphalangeal sesamoiditis
: a rare cause of chronic great toe pain," Journal of Clinical and Diagnostic Research, vol.
While they went on to become Premier League stars honoured by England, O'Donnell arrived at Gateshead via Luton Town before the rarest of conditions, sesamoiditis
, brought his professional life to a shuddering halt.
Diagnosed by Newcastle United physio Paul Catterson, O'Donnell had a rare medical problem, sesamoiditis
, an inflamation of the bones beneath the big toe.
Table 3 Injury Type by Diagnosis Type of Injury N Prevalence of Injury Ligament Sprain 11 17% Muscle strain 8 13% Compartment 8 13% syndrome/shin splints Stress fracture 7 11% Dislocation/subluxation/ 6 9% displacement Tendonitis 4 6% Patellofemoral pain 4 6% Osgood-Schlatter 2 3% disease Others (e.g., sesamoiditis
, 14 22% laceration, subluxation) Total 64 100% Table 4 Correlation Between Femoral Shaft Torsion and Other Measures Femoral P-Value Torsion r External rotation -0.034 0.384 Internal rotation 0.042 0.356 Turnout -0.066 0.558 Flexion strength 0.140 0.108 Extension strength -0.041 0.358 Abduction strength 0.090 0.214 Adduction strength 0.021 0.428 Lower limb assessment scale -0.025 0.413 Foot progression angle -0.112 0.162 Lateral pelvic drop -0.102 0.184
In arriving at a primary Diagnosis (Dx), due consideration should be given to differential diagnoses (Ddx), which must of course include metatarsal stress fractures (Reeder et al, 1996), as well as Metatarsophalangeal Joint (MTPJ) synovitis, osteochondrosis of the (usually but not exclusively 2nd) metatarsal heads (Freiberg infraction/disease), gout, sesamoiditis
and more rarely encountered pathologies such as plantar verrucous carcinoma (Schell et al, 2001) and epidermal inclusion cysts (Kato and Ueno, 1992).
"Funnily enough I've gone to see The Nutcracker since then and you've got to hand it to them, you can see why they'd get sesamoiditis
after prancing around on your toes for an hour and a half."
This, paired with our ability to reproduce the pain by direct palpation of the medial sesamoid, prompted us to make a clinical diagnosis of sesamoiditis
. To our knowledge, this is the first case report of sesamoiditis
caused by knuckle cracking.
Danny has never met JJ O'Donnell, but he readily coughed up the dough in the hope that JJ can privately undergo an operation to cure sesamoiditis
. For those of no medical knowledge (like me) sesamoiditis
is inflammation in the bones under the toe which causes intense pain when pressure is put on it.