Open Sesamoid: Medial Forefoot Pain In A Soccer Player

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Open Sesamoid: Medial Forefoot Pain In A Soccer Player - Page #1

Author: Luci Olewinski, MD Co Author #1: Morteza Khodaee, MD, MPH. Patient Presentation: 29 year old man presents with left medial forefoot pain. History: 29 year old man presents with left medial forefoot pain.� He is an avid soccer player. Approximately one week prior to presentation, he struck his foot against the ground while running during a soccer game and immediately felt pain to the left plantar medial forefoot.� He presents in a walking boot requesting further evaluation.� He has past history of left ACL repair but no previous injury to the left foot. Physical Exam: -Height: 6�0�, Weight 204 lbs., BMI 27.6 kg/m2 -Left foot: Neutral alignment of foot with normal longitudinal arch. Intact sensation and less than 2 seconds capillary refill to all toes.� Mild swelling across forefoot with notable tenderness to palpation along the medial and plantar aspect of the first metatarsophalangeal joint.� Pain is worsened by dorsiflexion of first toe more so than plantar flexion.� Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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