Sesamoid non-union treatment using suture anchor fixation.
João Marçal-de-Sousa, Laura Langone, Nuno Corte-Real
✦ AI-curated · Sources linked
Case in brief
A woman in her 20s presented with a 3-year history of intermittent plantar pain beneath the first metatarsal head and instability of the first metatarsophalangeal joint. Imaging revealed a fractured fibular sesamoid with progressive diastasis and bone edema indicative of a chronic fracture. Following unsuccessful conservative treatment, she underwent open reduction and suture-wire cerclage fixation, which provided a joint-preserving solution.
Diagnostic / clinical pearl
Advanced imaging techniques are crucial for differentiating chronic sesamoid fractures from sesamoiditis, aiding in appropriate management decisions.
Why it matters
This case underscores the potential of fragment fixation as a viable alternative to sesamoidectomy in managing chronic fibular sesamoid non-union.