Hallucal sesamoid osteonecrosis: an overlooked cause of forefoot pain

J Am Podiatr Med Assoc. May-Jun 2005;95(3):277-80. doi: 10.7547/0950277.


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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Forefoot, Human
  • Hallux*
  • Humans
  • Male
  • Middle Aged
  • Osteonecrosis / complications*
  • Osteonecrosis / surgery
  • Pain / etiology
  • Sesamoid Bones / pathology*
  • Sesamoid Bones / surgery