Sesamoid pain secondary to a plantar neuroma.
Two cases are presented in which the necessity of a plantar incision for removal of a fibular sesamoid led to the incidental finding of an undiagnosed plantar neuroma and bursal sac. The first case presented a hypertrophic fibular sesamoid fused to the plantar aspect of the first metatarsal head. The second case presented a dystrophic fibular sesamoid consistent with a healing fracture or avascular necrosis. Plantar neuromas are a known cause of pain in the forefoot. The authors review the literature concerning plantar neuromas and provide a discussion of their etiology, clinical findings, and surgical treatment. Attention is directed to the use of a plantar incision as a viable alternative to the dorsal approach for excision of a fibular sesamoid and associated soft tissue masses.
Chioros
P G
PG
College of Podiatric Medicine and Surgery, University of Osteopathic Medicine and Health Sciences Podiatric Residency Program, Des Moines, Iowa.
Frankel
S L
SL
Sidlow
C J
CJ
D000328:Adult; D005534:Foot Diseases / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D009463:Neuroma / Q000503:physiopathology* / Q000601:surgery; D010146:Pain / Q000209:etiology*; D012716:Sesamoid Bones