Stress fractures of the great toe sesamoids.
Stress fractures of the great toe sesamoids have not been previously confirmed as a clinical entity. In this report, we present four such cases, and document the diagnosis by histological sections. All of the patients had experienced the insidious onset of activity-related forefoot pain, and had radiographs that demonstrated a sesamoid fracture. None of the fractures healed with 6 weeks of immobilization and prolonged (4-6 months) inactivity. In all cases, the fractured sesamoid was excised, and the hematoxylin and eosin sections of the fracture segments documented the prefracture stress and incomplete repair characteristic of a stress fracture.
D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007103:Immobilization; D008297:Male; D012716:Sesamoid Bones / Q000293:injuries* / Q000601:surgery; D013314:Stress, Mechanical; D014034:Toes / Q000293:injuries* / Q000601:surgery