Skip to main content
Erschienen in: Skeletal Radiology 11/2007

01.11.2007 | Scientific Article

Bipartite hallucal sesamoid bones: relationship with hallux valgus and metatarsal index

verfasst von: Pedro V. Munuera, Gabriel Domínguez, María Reina, Piedad Trujillo

Erschienen in: Skeletal Radiology | Ausgabe 11/2007

Einloggen, um Zugang zu erhalten

Abstract

Objective

The objective was to relate the incidence of the partition of the hallucal sesamoid bones to the size of the first metatarsal and the hallux valgus deformity.

Materials and Methods

In a sample of 474 radiographs, the frequency of appearance of bipartite sesamoids was studied. The length and relative protrusion of the first metatarsal, and the hallux abductus angle, were measured and compared between the feet with and without sesamoid partition.

Results

The results showed that 14.6% of the feet studied had at least one partite sesamoid, that the sesamoid most frequently divided was the medial, and that unilateral partition was the most common. No difference was found in the incidence of partite sesamoids between men and women, or between left and right feet.

Conclusion

Protrusion and length of the first metatarsal are greater in feet with partite sesamoids than in feet without this condition. A significantly higher incidence of bipartite medial sesamoid was obtained in feet with hallux valgus compared with normal feet.
Literatur
1.
Zurück zum Zitat Sarrafian SK. Anatomy of the foot and ankle: descriptive, topographic, functional, 2nd ed. Philadelphia: Lippincott; 1993. Sarrafian SK. Anatomy of the foot and ankle: descriptive, topographic, functional, 2nd ed. Philadelphia: Lippincott; 1993.
2.
Zurück zum Zitat Jahss MH. The sesamoids of the hallux. Clin Orthop 1981; 157: 88–97.PubMed Jahss MH. The sesamoids of the hallux. Clin Orthop 1981; 157: 88–97.PubMed
3.
Zurück zum Zitat Inge GAL, Ferguson AB. Surgery of the sesamoid bones of the great toe. An anatomic and clinical study with a report of forty-one cases. Arch Surg 1933; 27: 466–489. Inge GAL, Ferguson AB. Surgery of the sesamoid bones of the great toe. An anatomic and clinical study with a report of forty-one cases. Arch Surg 1933; 27: 466–489.
4.
Zurück zum Zitat Weil LS, Hill M. Bipartite tibial sesamoid and hallux abducto valgus deformity: a previously unreported correlation. J Foot Surg 1992; 31: 104–111.PubMed Weil LS, Hill M. Bipartite tibial sesamoid and hallux abducto valgus deformity: a previously unreported correlation. J Foot Surg 1992; 31: 104–111.PubMed
5.
Zurück zum Zitat Yildirim Y, Saygi B. Congenital absence of the lateral sesamoid. J Am Podiatr Med Assoc 2006; 96: 78–81.PubMed Yildirim Y, Saygi B. Congenital absence of the lateral sesamoid. J Am Podiatr Med Assoc 2006; 96: 78–81.PubMed
6.
Zurück zum Zitat Frankel JP, Harrington J. Symptomatic bipartite sesamoids. J Foot Surg 1990; 29: 318–323.PubMed Frankel JP, Harrington J. Symptomatic bipartite sesamoids. J Foot Surg 1990; 29: 318–323.PubMed
7.
Zurück zum Zitat Scranton PE, Rutkowski R. Anatomic variations in the first ray. II. Disorders of the sesamoids. Clin Orthop 1980; 151: 256–264.PubMed Scranton PE, Rutkowski R. Anatomic variations in the first ray. II. Disorders of the sesamoids. Clin Orthop 1980; 151: 256–264.PubMed
8.
Zurück zum Zitat Carpintero P, Mesa M, García E, Sánchez G, Carpintero A. Pie cavo y sesamoideo bipartito. Rev Ortop Traum 1991; 35: 177–179. Carpintero P, Mesa M, García E, Sánchez G, Carpintero A. Pie cavo y sesamoideo bipartito. Rev Ortop Traum 1991; 35: 177–179.
9.
Zurück zum Zitat Hardy RH, Clapham JC. Observations on hallux valgus. J Bone Joint Surg 1951; 33B: 376–391. Hardy RH, Clapham JC. Observations on hallux valgus. J Bone Joint Surg 1951; 33B: 376–391.
10.
Zurück zum Zitat Heden RI, Sorto LA. The buckle point and the metatarsal protrusion’s relationship to hallux valgus. J Am Podiatr Assoc 1981; 71: 200–208. Heden RI, Sorto LA. The buckle point and the metatarsal protrusion’s relationship to hallux valgus. J Am Podiatr Assoc 1981; 71: 200–208.
11.
Zurück zum Zitat Duke H, Newman LM, Bruskoff BL, Daniels R. Relative metatarsal length patterns in hallux abducto valgus. J Am Podiatr Assoc 1982; 72: 1–5. Duke H, Newman LM, Bruskoff BL, Daniels R. Relative metatarsal length patterns in hallux abducto valgus. J Am Podiatr Assoc 1982; 72: 1–5.
12.
Zurück zum Zitat Read L. The structural abnormality in hallux valgus: is it the same in all age groups? J Bone Joint Surg 1983; 65B: 367. Read L. The structural abnormality in hallux valgus: is it the same in all age groups? J Bone Joint Surg 1983; 65B: 367.
13.
Zurück zum Zitat Tanaka Y, Takakura Y, Kumai T, Samoto N, Tamai S. Radiographic analysis of hallux valgus. A two-dimensional coordinate system. J Bone Joint Surg 1995; 77A: 205–213. Tanaka Y, Takakura Y, Kumai T, Samoto N, Tamai S. Radiographic analysis of hallux valgus. A two-dimensional coordinate system. J Bone Joint Surg 1995; 77A: 205–213.
14.
Zurück zum Zitat Bryant A, Tinley P, Singer K. Comparison of radiographic measurements in normal, hallux valgus, and hallux limitus feet. J Foot Ankle Surg 2000; 39: 39–43.PubMedCrossRef Bryant A, Tinley P, Singer K. Comparison of radiographic measurements in normal, hallux valgus, and hallux limitus feet. J Foot Ankle Surg 2000; 39: 39–43.PubMedCrossRef
15.
Zurück zum Zitat Mancuso JE, Abramow SP, Landsman MJ, Waldman M, Carioscia M. The zero-plus first metatarsal and its relationship to bunion deformity. J Foot Ankle Surg 2003; 42: 319–326.PubMedCrossRef Mancuso JE, Abramow SP, Landsman MJ, Waldman M, Carioscia M. The zero-plus first metatarsal and its relationship to bunion deformity. J Foot Ankle Surg 2003; 42: 319–326.PubMedCrossRef
16.
Zurück zum Zitat Soames RW. Sistema esquelético. In: Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ, editors. Anatomía de Gray, vol I, 38th ed. Madrid: Harcourt; 1998: 425–736. Soames RW. Sistema esquelético. In: Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ, editors. Anatomía de Gray, vol I, 38th ed. Madrid: Harcourt; 1998: 425–736.
17.
Zurück zum Zitat Tachdjian MO. The child’s foot. Philadelphia: Saunders, 1985. Tachdjian MO. The child’s foot. Philadelphia: Saunders, 1985.
18.
Zurück zum Zitat Lelièvre J, Lelièvre JF. Patología del pie, 4th ed. Barcelona: Masson, 1982. Lelièvre J, Lelièvre JF. Patología del pie, 4th ed. Barcelona: Masson, 1982.
19.
Zurück zum Zitat Piqué C, Maled I, Arabi J, Vila J. Radiographic angles in hallux valgus: differences between measurements made manually and with a computerized program. Foot Ankle Int 2006; 27: 175–180. Piqué C, Maled I, Arabi J, Vila J. Radiographic angles in hallux valgus: differences between measurements made manually and with a computerized program. Foot Ankle Int 2006; 27: 175–180.
20.
Zurück zum Zitat Nilsonne H. Hallux rigidus and its treatment. Acta Orthop Scand 1930; 1: 295–303.CrossRef Nilsonne H. Hallux rigidus and its treatment. Acta Orthop Scand 1930; 1: 295–303.CrossRef
22.
Zurück zum Zitat Munuera PV, Domínguez G, Polo J, Rebollo J. Medial deviation of the first metatarsal in incipient hallux valgus deformity. Foot Ankle Int 2006; 27: 1030–1035.PubMed Munuera PV, Domínguez G, Polo J, Rebollo J. Medial deviation of the first metatarsal in incipient hallux valgus deformity. Foot Ankle Int 2006; 27: 1030–1035.PubMed
23.
Zurück zum Zitat Munuera PV, Domínguez G, Castillo JM. Radiographic study about the size of the first metatarso-digital segment in feet with hallux limitus in initial phase. J Am Podiatr Med Assoc 2007; (in press). Munuera PV, Domínguez G, Castillo JM. Radiographic study about the size of the first metatarso-digital segment in feet with hallux limitus in initial phase. J Am Podiatr Med Assoc 2007; (in press).
24.
Zurück zum Zitat Tanaka Y, Takakura Y, Takaoka T, Akiyama K, Fujii T, Tamai S. Radiographic analysis of hallux valgus in women on weightbearing and nonweightbearing. Clin Orthop 1997; 336: 186–194.PubMedCrossRef Tanaka Y, Takakura Y, Takaoka T, Akiyama K, Fujii T, Tamai S. Radiographic analysis of hallux valgus in women on weightbearing and nonweightbearing. Clin Orthop 1997; 336: 186–194.PubMedCrossRef
25.
Zurück zum Zitat Coughlin MJ, Saltzman CL, Nunley JA. Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American Orthopaedic Foot and Ankle Society on angular measurements. Foot Ankle Int 2002; 23: 68–74.PubMed Coughlin MJ, Saltzman CL, Nunley JA. Angular measurements in the evaluation of hallux valgus deformities: a report of the ad hoc committee of the American Orthopaedic Foot and Ankle Society on angular measurements. Foot Ankle Int 2002; 23: 68–74.PubMed
26.
Zurück zum Zitat Aseyo D, Nathan H. Hallux sesamoid bones. Anatomical observations with special reference to osteoarthritis and hallux valgus. Int Orthop 1984; 8: 67–73.PubMedCrossRef Aseyo D, Nathan H. Hallux sesamoid bones. Anatomical observations with special reference to osteoarthritis and hallux valgus. Int Orthop 1984; 8: 67–73.PubMedCrossRef
27.
Zurück zum Zitat Kiter E, Acalla S, Alper Kiliç B, Demirkan F. Distribution of the metatarsophalangeal sesamoids in Turkish subjects. J Am Podiatr Med Assoc 2006; 96: 437–441.PubMed Kiter E, Acalla S, Alper Kiliç B, Demirkan F. Distribution of the metatarsophalangeal sesamoids in Turkish subjects. J Am Podiatr Med Assoc 2006; 96: 437–441.PubMed
28.
Zurück zum Zitat Kewenter Y. Die Sesambeine des 1. Metatarsophalangealgegenks des Menschen. Acta Orthop Scand 1936; 2 (Suppl.): 1–113. Kewenter Y. Die Sesambeine des 1. Metatarsophalangealgegenks des Menschen. Acta Orthop Scand 1936; 2 (Suppl.): 1–113.
29.
Zurück zum Zitat Dobas DC, Silvers MD. The frequency of partite sesamoids of the first metatarsophalangeal joint. J Am Podiatr Assoc 1977; 67: 880–882. Dobas DC, Silvers MD. The frequency of partite sesamoids of the first metatarsophalangeal joint. J Am Podiatr Assoc 1977; 67: 880–882.
30.
Zurück zum Zitat Rodeo SA, Warren RF, O’Brien SJ, Pavlov H, Barnes R, Hanks GA. Diastasis of bipartite sesamoids of the first metatarsophalangeal joint. Foot Ankle 1993; 14: 425–434.PubMed Rodeo SA, Warren RF, O’Brien SJ, Pavlov H, Barnes R, Hanks GA. Diastasis of bipartite sesamoids of the first metatarsophalangeal joint. Foot Ankle 1993; 14: 425–434.PubMed
31.
32.
Zurück zum Zitat García A, Parkes JC. Fracturas del pie. In: Giannestras NJ, editor. Trastornos del Pie. Barcelona: Salvat Editores; 1979: 507–554. García A, Parkes JC. Fracturas del pie. In: Giannestras NJ, editor. Trastornos del Pie. Barcelona: Salvat Editores; 1979: 507–554.
33.
Zurück zum Zitat Aper RL, Saltzman CL, Brown TD. The effect of hallux sesamoid resection on the effective moment of the flexor hallucis brevis. Foot Ankle Int 1994; 15: 462–470.PubMed Aper RL, Saltzman CL, Brown TD. The effect of hallux sesamoid resection on the effective moment of the flexor hallucis brevis. Foot Ankle Int 1994; 15: 462–470.PubMed
34.
Zurück zum Zitat Michaud TC. Foot orthoses and other forms of conservative foot care. Massachusetts: Williams and Wilkins; 1996. Michaud TC. Foot orthoses and other forms of conservative foot care. Massachusetts: Williams and Wilkins; 1996.
35.
Zurück zum Zitat Iida M, Basmajian JV. Electromyography of hallux valgus. Clin Orthop 1974; 101: 220–224.PubMed Iida M, Basmajian JV. Electromyography of hallux valgus. Clin Orthop 1974; 101: 220–224.PubMed
36.
Zurück zum Zitat Aper RL, Saltzman CL, Brown TD. The effect of hallux sesamoid excision on the flexor hallucis longus moment arm. Clin Orthop 1996; 325: 209–217.PubMedCrossRef Aper RL, Saltzman CL, Brown TD. The effect of hallux sesamoid excision on the flexor hallucis longus moment arm. Clin Orthop 1996; 325: 209–217.PubMedCrossRef
Metadaten
Titel
Bipartite hallucal sesamoid bones: relationship with hallux valgus and metatarsal index
verfasst von
Pedro V. Munuera
Gabriel Domínguez
María Reina
Piedad Trujillo
Publikationsdatum
01.11.2007
Verlag
Springer-Verlag
Erschienen in
Skeletal Radiology / Ausgabe 11/2007
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-007-0359-6

Weitere Artikel der Ausgabe 11/2007

Skeletal Radiology 11/2007 Zur Ausgabe

Browser's Notes

Browser’s notes

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.