title: Hallucal sesamoid osteonecrosis: an overlooked cause of forefoot pain.
abstract: Four cases of osteonecrosis of hallucal sesamoids are reported here. Surgical excision of necrotic sesamoid tissue yielded satisfactory results, with the patients reporting no residual pain. Although it has not been frequently addressed in the literature, avascular necrosis of the sesamoid bones should be considered in the differential diagnosis of persistent forefoot pain.
authors.affiliation: Department of Orthopedics and Traumatology, Baskent University School of Medicine, Adana Medical Center, Turkey.
authors.forename: Gürkan
authors.initials: G
authors.lastname: Ozkoç
authors.forename: Sercan
authors.initials: S
authors.lastname: Akpinar
authors.forename: Metin
authors.initials: M
authors.lastname: Ozalay
authors.forename: Murat Ali
authors.initials: MA
authors.lastname: Hersekli
authors.forename: Aysin
authors.initials: A
authors.lastname: Pourbagher
authors.forename: Fazilet
authors.initials: F
authors.lastname: Kayaselçuk
authors.forename: Reha N
authors.initials: RN
authors.lastname: Tandogan
mesh_terms: D000328:Adult; D005260:Female; D005545:Forefoot, Human; D006214:Hallux; D006801:Humans; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000150:complications* / Q000601:surgery; D010146:Pain / Q000209:etiology; D012716:Sesamoid Bones / Q000473:pathology* / Q000601:surgery