Tibial Sesamoiditis And Medial Hallucal Neuritis In A Collegiate Female Lacrosse Player - Page #3
 

Lab Studies:
None

Other Studies:
Outside radiographs and MRI Case Photo #1 showed marrow edema in the proximal moiety of her tibial sesamoid. There was no evidence of sclerosis or flattening. Findings were consistent with sesamoiditis, contusion, or chronic repetitive microtrauma. Supporting ligaments and tendons of the foot and ankle were reported as intact.
Diagnostic ultrasound examination revealed a small, non-hyperemic first metatarsophalangeal joint effusion with chronic synovial hypertrophy Case Photo #2and bipartite, non-diastatic tibial sesamoid bone with intact intersesamoid ligament and cartilage of the metatarsophalangeal joints Case Photo #3. Typical sesamoid pain was reproduced on sonographic palpation of her forefoot and great toe Case Photo #4. The medial hallucal nerve was non-neuromatous in appearance, but hypersensitivity on sonographic palpation was suspicious for medial hallucal nerve irritation Case Photo #5.

Consultations:
None

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek