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A False Step in a Ballerina: A Rare Case of Osteonecrosis of Subhallucal Sesamoid Bone

Year: 2024

Type: article

Abstract: Subhallucal interphalangeal osteonecrosis is an uncommon cause of forefoot pain, and a rarely reported clinical entity, being often overlooked. Imaging, particularly computed tomography (CT) scan and magnetic resonance imaging (MRI) have an essential role in early and differential diagnosis and guiding for appropriate therapy. The first approach should be conservative, and surgical treatment should be considered when it proves ineffective. In this case report, we describe a rare case of hallucal interphalangeal osteonecrosis manifesting a long-term hallux discomfort, successfully managed through a conservative approach, and we discuss the role of imaging techniques in its diagnosis.

Source: Cureus

DOI: 10.7759/cureus.72766

Authors: Pedro Maganinho, Filipe Sá Malheiro, Joana Cardoso, Carlos Sampaio Macedo, Bruno S Pereira

Institutions: Centro Hospitalar do Porto, University of Minho, Hospital Lusíadas Porto, Unidade Local de Saude de Barcelos/Esposende

Language: English

Topic: Bone and Joint Diseases

Subfield: Orthopedics and Sports Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4403943244