title: Symptomatic Hallucal Interphalangeal Sesamoid Bones Successfully Treated with Ultrasound-guided Injection - A Case Report -.
abstract: The hallucal interphalangeal sesamoid bone is usually asymptomatic, but it is not uncommon for it to be symptomatic in cases of undue pressure, overuse, or trauma. Even in symptomatic cases, however, patients often suffer for extended periods due to misdiagnosis, resulting in depression and anxiety that can steadily worsen to the extent that symptoms are sometimes mistaken for a somatoform disorder. Dynamic ultrasound-guided evaluations can be an effective means of detecting symptomatic sesamoid bones, and a simple injection of a small dose of local anesthetics mixed with steroids is an easily performed and effective treatment option in cases, for example, of tenosynovitis.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
authors.forename: Hye Young
authors.initials: HY
authors.lastname: Shin
authors.forename: Soo Young
authors.initials: SY
authors.lastname: Park
authors.forename: Hye Young
authors.initials: HY
authors.lastname: Kim
authors.forename: Yoo Sun
authors.initials: YS
authors.lastname: Jung
authors.forename: Sangbum
authors.initials: S
authors.lastname: An
authors.forename: Do Hyung
authors.initials: DH
authors.lastname: Kang
keywords: flexor hallucis longus tendon; foot pain; injection; interphalangeal sesamoid; somatoform disorder; ultrasound