title: Six Sesamoid Bones on Both Feet: Report of a Rare Case.
abstract: There is a variation of the total number of distinct bones in the human in the literature. This difference is mainly caused by the variable existence of sesamoid bones. Sesamoid bones at the first MTP are seen regularly. In contrast additional sesamoid bones at the second to fifth MTP are rare. We report a case of additional sesamoid bones at every metatarsophalangeal joint (MTP) of both feet. A 22-year-old female Caucasian presented with weight-dependent pain of the second MTP of the left foot. In the radiographs of both feet additional sesamoid bones at every MTP could be seen. This case reports a very rare variation in human anatomy. A similar case has not been displayed to the academic society and therefore should be acknowledged.
authors.affiliation: Faculty, Department of Trauma, Hand, Plastic and Reconstructive Surgery, Würzburg University Hospital, Julius-Maximilians University Würzburg , Oberdürrbacher Straße 6, Würzburg 97080, Germany ; Orthopädische Klinik König Ludwig Haus, Lehrstuhl für Orthopädie, Universität Würzburg , Würzburg, Germany .
authors.forename: S P
authors.initials: SP
authors.lastname: Boelch
authors.affiliation: Faculty, Department of Trauma, Hand, Plastic and Reconstructive Surgery, Würzburg University Hospital, Julius-Maximilians University Würzburg , Oberdürrbacher Straße 6, Würzburg 97080, Germany .
authors.forename: H
authors.initials: H
authors.lastname: Jansen
authors.affiliation: Faculty, Department of Trauma, Hand, Plastic and Reconstructive Surgery, Würzburg University Hospital, Julius-Maximilians University Würzburg , Oberdürrbacher Straße 6, Würzburg 97080, Germany .
authors.forename: R H
authors.initials: RH
authors.lastname: Meffert
authors.affiliation: Faculty, Department of Trauma, Hand, Plastic and Reconstructive Surgery, Würzburg University Hospital, Julius-Maximilians University Würzburg , Oberdürrbacher Straße 6, Würzburg 97080, Germany .
authors.forename: S P
authors.initials: SP
authors.lastname: Frey
keywords: Anatomy; Genetics; Variation