133 - Sesamoiditis

Abstract

Pain of sesamoiditis can be reproduced on physical examination by pressure on the affected sesamoid bone. In contrast to metatarsalgia, in which the tender area remains over the metatarsal heads, with sesamoiditis, the area of maximal tenderness moves along with the flexor tendon when the patient actively flexes his or her toe. A patient with sesamoiditis often exhibits an antalgic gait in an effort to reduce weight bearing during walking. With acute trauma to the sesamoid, ecchymosis over the plantar surface of the foot may be present.