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VOLUME 7 , ISSUE 2 ( July-December, 2020 ) > List of Articles
Rajiv Shah, Gurunath S Wachche, Dayanidhi N Desai
Keywords : Flexor hallucis longus, Great toe, Interphalangeal joint, Sesamoid, Sesamoid bone, Tendinitis
Citation Information : Shah R, Wachche GS, Desai DN. A Rare Case of Flexor Hallucis Longus Tendinitis Due to Sesamoid Bone at the Interphalangeal Joint of the Great Toe: A Case Report. J Foot Ankle Surg Asia-Pacific 2020; 7 (2):70-72.
License: CC BY-NC 4.0
Published Online: 01-10-2020
Copyright Statement: Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.
Aim: This study aims to describe the rare case of flexor hallucis longus (FHL) tendinitis due to the sesamoid bone at the interphalangeal joint of the great toe. Background: Sesamoids are the intertendinous bone, which is rarely found at the hallucal interphalangeal joint. Occasionally, these bones may be associated with pain syndromes. A high index of suspicion should be exercised for the diagnosis. Detailed clinical examination and sound evaluation of radiology will help to establish the diagnosis. Case description: Forty-five-year-old male patient presented with pain in the great toe of the left foot and the inability to weight-bear over the forefoot for three years. He could not use the closed footwear because of fixed dorsiflexion at the first interphalangeal joint with severe pain. The patient was diagnosed to have an sesamoid bone in the tendon of FHL at the level of the interphalangeal joint. Excision of sesamoid bone cured him. Conclusion: The accessory bones are commonly treated conservatively, but those causing tendinitis and chronic pain should be treated surgically with excision. Clinical significance: The sesamoid bone in tendon of FHL can lead to tendinitis causing chronic pain and difficulty in walking. A high index of suspicion can only help in early diagnosis.
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