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S. Plevin - One of the best experts on this subject based on the ideXlab platform.
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association between Sesamoiditis subclinical ultrasonographic suspensory ligament branch change and subsequent clinical injury in yearling thoroughbreds
Equine Veterinary Journal, 2016Co-Authors: S. Plevin, J. Mclellan, T OkeeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with suspensory ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical suspensory ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between Sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with Sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent Sesamoiditis and SSLBC would be more likely to develop clinical suspensory ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and suspensory ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/suspensory ligament branch pairs. A significant relationship existed between possibly significant (PS) Sesamoiditis and PS SSLBC (P<0.001). The odds ratio of sesamoids with PS Sesamoiditis also demonstrating concurrent PS SSLBC was 5.1 (95% confidence interval 2.68–9.70, P<0.001). A significant relationship also existed between the concurrent presence of PS Sesamoiditis and PS SSLBC and the subsequent development of clinical signs of SLBI (P<0.001, odds ratio 11.7, 95% confidence interval 4.1–33.4). Conclusions The associations identified in this study highlight the importance of ultrasonographic examination of suspensory ligament branches in horses with PS Sesamoiditis. This information should allow more accurate prognostic advice regarding potential SLBI development and also provide opportunities for intervention and prevention of clinical SLBI. The Summary is available in Chinese - see Supporting information
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Association between Sesamoiditis, subclinical ultrasonographic suspensory ligament branch change and subsequent clinical injury in yearling Thoroughbreds.
Equine veterinary journal, 2015Co-Authors: S. Plevin, J. Mclellan, T. O'keeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with suspensory ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical suspensory ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between Sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with Sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent Sesamoiditis and SSLBC would be more likely to develop clinical suspensory ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and suspensory ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/suspensory ligament branch pairs. A significant relationship existed between possibly significant (PS) Sesamoiditis and PS SSLBC (P
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do radiographic signs of Sesamoiditis in yearling thoroughbreds predispose the development of suspensory ligament branch injury
Equine Veterinary Journal, 2014Co-Authors: J. Mclellan, S. PlevinAbstract:SummaryReasons for performing study Sesamoiditis is believed to be associated with injury to the suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling Sesamoiditis and subsequent development of suspensory ligament branch injury (SLBI) in early racehorse training. Objectives To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and Sesamoiditis to determine if Sesamoiditis is a risk factor for clinical suspensory branch injury. Study design Retrospective case control study. Methods Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for Sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between Sesamoiditis and the development of SLBI during training. Results The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of Sesamoiditis overall but SLBI cases demonstrated increased severity of Sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between Sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced Sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent suspensory branch (OR 4.56, 95% CI 2.18–9.53, P = 0.0001). Conclusions This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of Sesamoiditis. Evidence of significant Sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that Sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale.
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Do radiographic signs of Sesamoiditis in yearling Thoroughbreds predispose the development of suspensory ligament branch injury
Equine veterinary journal, 2013Co-Authors: J. Mclellan, S. PlevinAbstract:Sesamoiditis is believed to be associated with injury to the suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling Sesamoiditis and subsequent development of suspensory ligament branch injury (SLBI) in early racehorse training. To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and Sesamoiditis to determine if Sesamoiditis is a risk factor for clinical suspensory branch injury. Retrospective case control study. Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for Sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between Sesamoiditis and the development of SLBI during training. The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of Sesamoiditis overall but SLBI cases demonstrated increased severity of Sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between Sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced Sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent suspensory branch (OR 4.56, 95% CI 2.18-9.53, P = 0.0001). This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of Sesamoiditis. Evidence of significant Sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that Sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale. © 2013 EVJ Ltd.
J. Mclellan - One of the best experts on this subject based on the ideXlab platform.
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association between Sesamoiditis subclinical ultrasonographic suspensory ligament branch change and subsequent clinical injury in yearling thoroughbreds
Equine Veterinary Journal, 2016Co-Authors: S. Plevin, J. Mclellan, T OkeeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with suspensory ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical suspensory ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between Sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with Sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent Sesamoiditis and SSLBC would be more likely to develop clinical suspensory ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and suspensory ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/suspensory ligament branch pairs. A significant relationship existed between possibly significant (PS) Sesamoiditis and PS SSLBC (P<0.001). The odds ratio of sesamoids with PS Sesamoiditis also demonstrating concurrent PS SSLBC was 5.1 (95% confidence interval 2.68–9.70, P<0.001). A significant relationship also existed between the concurrent presence of PS Sesamoiditis and PS SSLBC and the subsequent development of clinical signs of SLBI (P<0.001, odds ratio 11.7, 95% confidence interval 4.1–33.4). Conclusions The associations identified in this study highlight the importance of ultrasonographic examination of suspensory ligament branches in horses with PS Sesamoiditis. This information should allow more accurate prognostic advice regarding potential SLBI development and also provide opportunities for intervention and prevention of clinical SLBI. The Summary is available in Chinese - see Supporting information
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Association between Sesamoiditis, subclinical ultrasonographic suspensory ligament branch change and subsequent clinical injury in yearling Thoroughbreds.
Equine veterinary journal, 2015Co-Authors: S. Plevin, J. Mclellan, T. O'keeffeAbstract:Summary Reasons for performing study Sesamoiditis is a common radiological finding in yearling Thoroughbreds. The condition is believed to be associated with suspensory ligament branch injury (SLBI), which is known to affect racing performance. The presence of subclinical suspensory ligament branch change (SSLBC) in untrained yearlings has not been investigated. Associations between Sesamoiditis, SSLBC and subsequent SLBI would allow more accurate prognoses to be made regarding the development of SLBI. They could also provide opportunity for intervention and prevention of SLBI. Objectives To test our hypotheses that untrained yearling Thoroughbreds with Sesamoiditis would be more likely to have ultrasonographic findings of SSLBC and those horses with concurrent Sesamoiditis and SSLBC would be more likely to develop clinical suspensory ligament branch injury with training. Study design Prospective, cohort, observational study. Methods Yearling Thoroughbreds located at a single training centre were evaluated at the onset of their training careers and for the next 9 months. Radiographic and ultrasonographic examination of bilateral forelimb proximal sesamoid bones and suspensory ligament branches was performed. Results Fifty horses were eligible, resulting in 200 forelimb sesamoid/suspensory ligament branch pairs. A significant relationship existed between possibly significant (PS) Sesamoiditis and PS SSLBC (P
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do radiographic signs of Sesamoiditis in yearling thoroughbreds predispose the development of suspensory ligament branch injury
Equine Veterinary Journal, 2014Co-Authors: J. Mclellan, S. PlevinAbstract:SummaryReasons for performing study Sesamoiditis is believed to be associated with injury to the suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling Sesamoiditis and subsequent development of suspensory ligament branch injury (SLBI) in early racehorse training. Objectives To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and Sesamoiditis to determine if Sesamoiditis is a risk factor for clinical suspensory branch injury. Study design Retrospective case control study. Methods Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for Sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between Sesamoiditis and the development of SLBI during training. Results The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of Sesamoiditis overall but SLBI cases demonstrated increased severity of Sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between Sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced Sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent suspensory branch (OR 4.56, 95% CI 2.18–9.53, P = 0.0001). Conclusions This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of Sesamoiditis. Evidence of significant Sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that Sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale.
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Do radiographic signs of Sesamoiditis in yearling Thoroughbreds predispose the development of suspensory ligament branch injury
Equine veterinary journal, 2013Co-Authors: J. Mclellan, S. PlevinAbstract:Sesamoiditis is believed to be associated with injury to the suspensory branch attachment and is a common radiographic finding in yearling Thoroughbreds. No study has investigated relationships between yearling Sesamoiditis and subsequent development of suspensory ligament branch injury (SLBI) in early racehorse training. To establish the prevalence of SLBI within a population of juvenile training racehorses and retrospectively investigate relationships between clinical signs of SLBI and Sesamoiditis to determine if Sesamoiditis is a risk factor for clinical suspensory branch injury. Retrospective case control study. Presale radiographs of 291 clinically normal yearling Thoroughbreds were reviewed for Sesamoiditis and graded using 3 objective scales. Medical records encompassing the first year of race training were reviewed to identify cases of SLBI and the remaining unaffected controls from the cohort. Statistical analysis determined the relationship between Sesamoiditis and the development of SLBI during training. The prevalence of SLBI was 9.97%. Case and control horses demonstrated a similar prevalence of Sesamoiditis overall but SLBI cases demonstrated increased severity of Sesamoiditis on yearling radiographs compared with unaffected controls. This significant relationship between Sesamoiditis and cases of SLBI was only observed using one of the 3 scales. Using that scale, sesamoids exhibiting more pronounced Sesamoiditis on yearling radiographs were 5 times more likely to develop SLBI in the adjacent suspensory branch (OR 4.56, 95% CI 2.18-9.53, P = 0.0001). This study reveals that the grading scale used is important when providing prognostic advice on the significance of radiographic signs of Sesamoiditis. Evidence of significant Sesamoiditis implies a 5 times greater risk of developing clinical SLBI with the onset of training. Clinicians should be aware that Sesamoiditis may be an indicator of future SLBI in yearlings which are clinically normal at the time of sale. © 2013 EVJ Ltd.
Kenneth J Hunt - One of the best experts on this subject based on the ideXlab platform.
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First Metatarsophalangeal Arthroscopy
Arthroscopy and Endoscopy of the Foot and Ankle, 2019Co-Authors: Phinit Phisitkul, Philip J. York, Kenneth J Hunt, Vinay Hosuru Siddappa, Davide Edoardo Bonasia, Annunziato Amendola, Tun Hing Lui, Thomas S. Roukis, Jordi Vega, Miki DalmauAbstract:With advancements in cutting-edge technologies, minimally invasive diagnostic and therapeutic techniques are continuing to evolve to approach this condyloid joint which is a frequent source of disease. Since Watanabe’s description in 1972 [1], although scarce, treatment of various pathologies such as pigmented villonodular synovitis [2–4], hallux rigidus [2, 5], hallux valgus [6–8], osteochondral lesions [2, 9, 10], Sesamoiditis [11, 12], and gouty tophi [4, 13–15] has been reported in the past. The understanding of surgical approaches and available portals will allow surgeons to strategically address specific lesions while minimizing postoperative pain and complications.
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Injuries to the great toe
Current Reviews in Musculoskeletal Medicine, 2017Co-Authors: Philip J. York, Frank B. Wydra, Kenneth J HuntAbstract:Purpose of reviewInjuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction.Recent findingsToe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics. While most injuries can be treated nonsurgically, there are a number of specific injuries that require a high index of suspicion, careful management, and in some cases, surgical intervention. Injuries detailed in this review include turf toe, traumatic bunion, and hallux and sesamoid fractures. Additional pathologies that are covered include Sesamoiditis and sesamoid avascular necrosis as well as hallux rigidus. Appropriate workup and current treatment recommendations are discussed.SummaryInjuries to the hallux can result in long-term pain and disability if not properly diagnosed and treated. A high index of suspicion is required.
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Injuries to the great toe.
Current reviews in musculoskeletal medicine, 2017Co-Authors: Philip J. York, Frank B. Wydra, Kenneth J HuntAbstract:Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics. While most injuries can be treated nonsurgically, there are a number of specific injuries that require a high index of suspicion, careful management, and in some cases, surgical intervention. Injuries detailed in this review include turf toe, traumatic bunion, and hallux and sesamoid fractures. Additional pathologies that are covered include Sesamoiditis and sesamoid avascular necrosis as well as hallux rigidus. Appropriate workup and current treatment recommendations are discussed. Injuries to the hallux can result in long-term pain and disability if not properly diagnosed and treated. A high index of suspicion is required.
Philip J. York - One of the best experts on this subject based on the ideXlab platform.
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First Metatarsophalangeal Arthroscopy
Arthroscopy and Endoscopy of the Foot and Ankle, 2019Co-Authors: Phinit Phisitkul, Philip J. York, Kenneth J Hunt, Vinay Hosuru Siddappa, Davide Edoardo Bonasia, Annunziato Amendola, Tun Hing Lui, Thomas S. Roukis, Jordi Vega, Miki DalmauAbstract:With advancements in cutting-edge technologies, minimally invasive diagnostic and therapeutic techniques are continuing to evolve to approach this condyloid joint which is a frequent source of disease. Since Watanabe’s description in 1972 [1], although scarce, treatment of various pathologies such as pigmented villonodular synovitis [2–4], hallux rigidus [2, 5], hallux valgus [6–8], osteochondral lesions [2, 9, 10], Sesamoiditis [11, 12], and gouty tophi [4, 13–15] has been reported in the past. The understanding of surgical approaches and available portals will allow surgeons to strategically address specific lesions while minimizing postoperative pain and complications.
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Injuries to the great toe
Current Reviews in Musculoskeletal Medicine, 2017Co-Authors: Philip J. York, Frank B. Wydra, Kenneth J HuntAbstract:Purpose of reviewInjuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction.Recent findingsToe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics. While most injuries can be treated nonsurgically, there are a number of specific injuries that require a high index of suspicion, careful management, and in some cases, surgical intervention. Injuries detailed in this review include turf toe, traumatic bunion, and hallux and sesamoid fractures. Additional pathologies that are covered include Sesamoiditis and sesamoid avascular necrosis as well as hallux rigidus. Appropriate workup and current treatment recommendations are discussed.SummaryInjuries to the hallux can result in long-term pain and disability if not properly diagnosed and treated. A high index of suspicion is required.
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Injuries to the great toe.
Current reviews in musculoskeletal medicine, 2017Co-Authors: Philip J. York, Frank B. Wydra, Kenneth J HuntAbstract:Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics. While most injuries can be treated nonsurgically, there are a number of specific injuries that require a high index of suspicion, careful management, and in some cases, surgical intervention. Injuries detailed in this review include turf toe, traumatic bunion, and hallux and sesamoid fractures. Additional pathologies that are covered include Sesamoiditis and sesamoid avascular necrosis as well as hallux rigidus. Appropriate workup and current treatment recommendations are discussed. Injuries to the hallux can result in long-term pain and disability if not properly diagnosed and treated. A high index of suspicion is required.
Ashish Shah - One of the best experts on this subject based on the ideXlab platform.
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Diagnosis and conservative management of great toe pathologies: a review.
Postgraduate medicine, 2021Co-Authors: Nicholas A Andrews, Jessyca Ray, Aseel Dib, Whitt M. Harrelson, Ankit Khurana, Maninder Shah Singh, Ashish ShahAbstract:Acute great toe (Hallux) pain is a common complaint encountered by the primary care physician. Pathological conditions can vary from acute trauma to acute exacerbation of underlying chronic conditions. Delay in treatment or misdiagnosis can lead to debilitating loss of function and long-lasting pain. This review endeavors to discuss the pertinent history, physical exam findings, radiographical evidence, conservative treatment options, and surgical management for the musculoskeletal causes of acute and acute on chronic great toe pain in the adult population. The acute pathologies discussed in this review are hallux fractures and dislocations, turf toe, sand toe, and sesamoid disorders. The chronic pathologies discussed include hallux rigidus, hallux valgus, and chronic Sesamoiditis.
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Tibial Sesamoidectomy: Indications and Outcomes:
Foot & Ankle Orthopaedics, 2019Co-Authors: Matthew C. Christie, Joseph X. Robin, Haley Mckissack, Ashish ShahAbstract:Category:Midfoot/ForefootIntroduction/Purpose:Tibial sesamoidectomy has been reported to be a safe and effective procedure of treating a range of sesamoid pathologies including chronic Sesamoiditis...
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Is Fibular Sesamoidectomy a Viable Option for Sesamoiditis? A Retrospective Study:
Foot & Ankle Orthopaedics, 2019Co-Authors: Leonardo Vinícius De Matos Moraes, Haley Mckissack, Jeffrey M. Pearson, Kyle D. Paul, Jianguang Peng, Karthikeyan Chinnakkannu, Aaradhana J. Jha, Ashish ShahAbstract:Category:Midfoot/ForefootIntroduction/Purpose:Although the first metatarsophalangeal joint sesamoids have biomechanical value in the foot, pathologic conditions of these sesamoids are a source of d...
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Is Fibular Sesamoidectomy a Viable Option for Sesamoiditis? A Retrospective Study.
Cureus, 2019Co-Authors: Jeffrey M. Pearson, Haley Mckissack, Leonardo Vinícius De Matos Moraes, Kyle D. Paul, Jianguang Peng, Karthikeyan Chinnakkannu, Ashish ShahAbstract:Background Pathologic conditions of the sesamoids can be a source of disabling pain for patients, particularly during toe-off. Some underlying causes include osteonecrosis, inflammation, arthritis, and fracture. Nonoperative treatment is the initial standard of care, and has demonstrated satisfactory outcomes overall; however, operative management may be indicated in cases of pain refractory to conservative management. Sesamoidectomy is an uncommon procedure with risk of potential complications, but may be warranted in select cases of failed nonoperative treatment. Methods A retrospective chart review was conducted at one institution from 2009 to 2018. Twelve patients diagnosed with fibular Sesamoiditis were treated with sesamoidectomy. Baseline patient demographics as well as postoperative outcomes were recorded. Results All 12 patients underwent fibular sesamoidectomy using the plantar approach following which their symptom (pain) resolved. Average follow-up for this cohort was 35 months. Of the sample, two patients experienced transient neuritis, one patient developed a superficial infection, and one had painful postoperative scarring. Hallux varus deformity was not observed in any patients. Conclusion Fibular sesamoidectomy may be a safe, viable procedure for patients with Sesamoiditis who fail conservative measures.
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Tibial sesamoidectomy: indications and outcomes
Annals of Joint, 2019Co-Authors: Jianguang Peng, Matthew C. Christie, Joseph X. Robin, Haley Mckissack, Bradley Alexander, Sameer Naranje, Ashish ShahAbstract:Background: Medial sesamoidectomy has been reported to be a safe and effective means of treating a range of pathologies including chronic Sesamoiditis and fracture nonunion. The purpose of this case series is to determine common clinical indications for medial sesamoidectomy and to evaluate the postoperative clinical course and outcomes. Methods: A retrospective chart review was conducted on patients who had isolated medial sesamoidectomy from 2009 to 2018. Demographics, comorbidities, physical exam variables, operative findings, radiographic measurements including hallux valgus angle (HVA) and intermetatarsal angle (IMA), and clinical outcomes including visual analog score (VAS), Foot Function Index (FFI), and complications were gathered. Results: Twenty-six patients (13 males and 13 females) were identified to have undergone tibial sesamoidectomy with a mean age of 49.8±18.5 years. VAS improved significantly (5.27±2.41 to 0.91±1.14, P Conclusions: Isolated tibial sesamoidectomy, when utilized judiciously and with the right indications can improve pain and ulcer healing.